Individual
JAKOB DAVIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9920 4TH AVE STE 111, BROOKLYN, NY 11209-8328
(718) 715-4541
Mailing address
2577 E 22ND ST # 2L, BROOKLYN, NY 11235-2503
(917) 891-1233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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