Organization
OXYGEN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTORIYA GILYADOVA (MANAGER)
(718) 290-6298
Entity
Organization
Contact information
Practice address
1659 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 255-9955
Mailing address
1659 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 290-6298
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/05/2024
Last updated
03/06/2024
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