Individual
PAVEL TELYATNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
2792 OCEAN AVE, UNIT 5, BROOKLYN, NY 11229-4729
(718) 975-0640
(718) 975-0639
Mailing address
2792 OCEAN AVE, UNIT 5, BROOKLYN, NY 11229-4729
(718) 975-0640
(718) 975-0639
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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