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Individual

DR. EMIL L GURSHUMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3049 BRIGHTON 6TH ST, UNIT CU 1, BROOKLYN, NY 11235-3020
(718) 934-0322
(718) 934-0994
Mailing address
3049 BRIGHTON 6TH ST, UNIT CU 1, BROOKLYN, NY 11235-3020
(646) 633-3833
(718) 934-0994

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
25MA08762100
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
265211
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03624004
NY
Enumeration date
05/25/2010
Last updated
08/09/2015
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