Organization
DAREL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEGS TEREHOVS (EXECUTIVE DIRECTOR)
(718) 310-3505
Entity
Organization
Contact information
Practice address
106 CORTELYOU RD, BROOKLYN, NY 11218-4510
(718) 310-3505
(718) 310-3506
Mailing address
106 CORTELYOU RD, BROOKLYN, NY 11218-4510
(718) 310-3505
(718) 310-3506
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
04/21/2021
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