Individual
YURI KISELEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 ROYCE STREET, BROOKLYN, NY 11234
(443) 878-2714
Mailing address
1411 ROYCE ST, BROOKLYN, NY 11234-5837
(443) 878-2714
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
K-241-967-018-162
MD
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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