Individual
ILAN SEMANDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
81 SKILLMAN ST, ST, BROOKLYN, NY 11205-2803
(718) 694-9000
(718) 237-9305
Mailing address
1844 E 24TH ST, BROOKLYN, NY 11229-2426
(917) 238-7234
(718) 237-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251750
NY
Other
Enumeration date
07/24/2009
Last updated
02/18/2014
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