Individual provider · Type 1 NPI

Ksenia Pavlova, D.O

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1063741049 Active

Practice location

150 55th St
Brooklyn, NY 11220-2559

Call (718) 630-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063741049

Ksenia Pavlova, D.O's National Provider Identifier is 1063741049, issued on Dec 21, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 21, 2009.