Individual
DANIEL GAVRIELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 55TH ST APT 3D, BROOKLYN, NY 11219-4251
(718) 772-3110
Mailing address
1455 55TH ST APT 3D, BROOKLYN, NY 11219-4251
(718) 772-3110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073161
NY
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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