Individual
ANATOLIY YEVDAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2284 E 28TH ST FL 2, BROOKLYN, NY 11229-5058
(917) 553-7360
Mailing address
2284 E 28TH ST FL 2, BROOKLYN, NY 11229-5058
(917) 553-7360
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
477302849
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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