Individual
VICTORIA GOLOVATENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5900
Mailing address
1502 W 5TH ST APT 2C, BROOKLYN, NY 11204-4919
(917) 774-2948
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017236
NY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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