Individual
OKSANA BOGATYRYOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8816
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
239759
NY
Other
Enumeration date
07/30/2006
Last updated
12/27/2007
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