Individual
ROBERT CERNASOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
10540 63RD RD, FOREST HILLS, NY 11375-1349
(917) 392-0397
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
572771
NY
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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