Individual
LEONID SHCHIGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 BENNETT AVE, NEW YORK, NY 10033-2315
(212) 795-7420
Mailing address
131 BENNETT AVE, NEW YORK, NY 10033-2315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F336712-1
NY
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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