Vadim Kruzhkov

NPI 1720225733 - Technician/Technologist - 156FX1100X

NPI Details
NPI 1720225733
Gender Male
Enumeration Date 01/13/2009
Last Updated 01/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
764 MANHATTAN AVE
BROOKLYN NY, 11222-2967, US
Phone (718) 349-8313
Fax
Business Location
764 MANHATTAN AVE
BROOKLYN NY, 11222-2967, US
Phone (718) 349-8313
Fax
Toxanomy
Taxonomy Code 156FX1100X
License State New York
License Number 007005
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According to our database, Mr. Vadim Kruzhkov NPI is 1720225733, taxonomy code is 156FX1100X and license number is 007005, license state is located at New York. Vadim Kruzhkov physically located at 764 Manhattan Ave, Brooklyn NY, 11222-2967. NPI Number Vadim Kruzhkov has the Individual type.

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1720225733 NPI number is provided on an as is basis without warranty of any kind. 1720225733 is maintained by the National Plan & Provider Enumeration System. The contents of Vadim Kruzhkov are for informational purposes only.