Individual
ARIEL PROZUMENSHIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Mailing address
355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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