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Individual

CHAVKAT E. ATAKHANOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD, D SC

Contact information

Practice address
681 CLARKSON AVE, KINGSBORO PSYCHIATRIC CENTER, BLDG 1, WARD #22, BROOKLYN, NY 11203-2125
(718) 221-7752
Mailing address
681 CLARKSON AVE, KINGSBORO PSYCHIATRIC CENTER, BLDG 1, WARD #22, BROOKLYN, NY 11203-2125
(718) 221-7752

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
P62934
NY
2084P0800X
Psychiatry Physician
Primary
P62934
NY

Other

Enumeration date
03/16/2009
Last updated
03/16/2009
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