Individual
ANDREI SPOLYSSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
317 100TH ST, 2-L, BROOKLYN, NY 11209-8239
(212) 844-9560
Mailing address
317 100TH ST, 2-L, BROOKLYN, NY 11209-8239
(212) 844-9560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666868
NY
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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