Individual
REVITTAL SAIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
759 E 8TH ST, BROOKLYN, NY 11230-2259
(718) 692-1008
Mailing address
759 E 8TH ST, BROOKLYN, NY 11230-2259
(718) 692-1008
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3475285863
DYNAMIC THERAPEUTIC SERVICES
NY
Enumeration date
07/04/2011
Last updated
07/04/2011
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