Individual
MR. FEDOR E PANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1249 PARK AVE APT 10G, NEW YORK, NY 10029-7220
(570) 578-6634
Mailing address
1249 PARK AVE APT 10G, NEW YORK, NY 10029-7220
(570) 578-6634
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
AM970780539892
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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