Individual
DARIA DEGTYAREVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 W 31ST ST APT 1L2, BROOKLYN, NY 11224-1707
(917) 930-9033
Mailing address
2929 W 31ST ST APT 1L2, BROOKLYN, NY 11224-1707
(917) 930-9033
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000877905
ZEM INSURANCE SOLUTIONS
—
05
—
JLJ716566894
—
NY
Enumeration date
03/31/2021
Last updated
04/13/2022
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