Individual
DR. YURY TAKHALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPT OF PATHOLOGY HOS2, STONY BROOK, NY 11794-7025
(631) 444-2224
(631) 444-3424
Mailing address
840 S. WOOD ST., SUITE 130 CSN, UNIVERSITY OF ILLINOIS AT CHICAGO, CHICAGO, IL 60612
(312) 996-3879
(312) 413-1436
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
255706
NY
Other
Enumeration date
03/19/2008
Last updated
06/07/2011
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