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Organization

PRIVEN MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IGOR PRIVEN M.D. (PRESIDENT)
(718) 986-6443
Entity
Organization

Contact information

Practice address
2114 GRAVESEND NECK RD, BROOKLYN, NY 11229-4810
(718) 891-8790
Mailing address
345 ROUTE 9, SUITE 8, MANALAPAN, NJ 07726-3239
(718) 986-6443

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
220133
NY

Other

Enumeration date
12/15/2007
Last updated
10/17/2008
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