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Individual

JULIA PAVLOV-RACHOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
1115 SHORE PKWY, BROOKLYN, NY 11228-3919
(718) 331-2982

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
191373-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01450513
NY
Enumeration date
08/14/2006
Last updated
07/08/2007
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