Organization
DIX HILLS MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KAYLAKOV MD (PRESIDENT)
(646) 339-4059
Entity
Organization
Contact information
Practice address
691 92ND ST, BROOKLYN, NY 11228-3619
(718) 946-4600
Mailing address
280 TIMBER RIDGE DR, STATEN ISLAND, NY 10306-6124
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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