Individual
BELLA BALAR KICHIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1797 PITKIN AVE, BROOKLYN, NY 11212-7841
(718) 367-2555
Mailing address
1797 PITKIN AVE, BROOKLYN, NY 11212-7841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344248
NY
Other
Enumeration date
05/21/2020
Last updated
08/13/2020
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