Individual
DMITRI PETRYCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2960 OCEAN AVE FL 6, BROOKLYN, NY 11235-3202
(718) 336-5123
(718) 336-5137
Mailing address
2960 OCEAN AVE FL 6, BROOKLYN, NY 11235-3202
(718) 336-5123
(718) 336-5137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
227434
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
227434
NY
208VP0014X
Interventional Pain Medicine Physician
25MA07665400
NJ
208VP0014X
Interventional Pain Medicine Physician
ME107824
FL
Other
Enumeration date
01/19/2006
Last updated
08/16/2023
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