Individual
GALINA VENIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1009 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5659
(718) 975-8500
(718) 975-8502
Mailing address
2220 AVE U, APT.#1, BROOKLYN, NY 11229-3648
(718) 934-7081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02723182
—
NY
Enumeration date
02/21/2006
Last updated
12/08/2017
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