Individual provider · Type 1 NPI
Eduard Dotlibov
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1467795708
Active
Practice location
2714 Mermaid Ave
Brooklyn, NY 11224-2006
Fax (718) 373-8963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306395 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1467795708
Eduard Dotlibov's National Provider Identifier is 1467795708, issued on Apr 5, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 5, 2013.