Individual
DMITRIY GLEYZEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
730648
NY
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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