Individual
YEVGENIY BALAGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, BOX# 8, NEW YORK, NY 10065-6007
(212) 639-5809
Mailing address
21 W 86TH ST, APT # 507, NEW YORK, NY 10024-3671
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
251856
NY
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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