Individual
ZLATIN S IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY DEPARTMENT OF PSYCHIATRY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
242883
NY
Other
Enumeration date
10/26/2007
Last updated
06/29/2020
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