Individual
MARIYA STRATILATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 200N, HAWTHORNE, NY 10532-2140
(914) 493-7701
(914) 345-0652
Mailing address
19 BRADHURST AVE, SUITE 200N, HAWTHORNE, NY 10532-2140
(914) 493-7701
(914) 345-0652
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
235734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02820331
—
NY
Enumeration date
08/25/2006
Last updated
02/27/2009
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