Individual
DMITRIY YADGAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11247 QUEENS BLVD 206, FOREST HILLS, NY 11375-7421
(718) 544-4200
(718) 544-4201
Mailing address
6433 98TH ST 1E, REGO PARK, NY 11374-3301
(718) 344-0009
(718) 236-1055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234729
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
234729
NY
207RP1001X
Pulmonary Disease Physician
Primary
234729
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
234729
NY
Other
Enumeration date
06/25/2007
Last updated
04/02/2021
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