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Individual

ARTUR TAKHALOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
3998 FAIR RIDGE DR STE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
593091
NY

Other

Enumeration date
08/19/2014
Last updated
12/09/2014
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