Vyacheslav Dabakarov
Vyacheslav Dabakarov is a Family Nurse Practitioner in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
7315 194th StFresh Meadows, NY 11366-1835
Phone: (347) 684-6605
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 345472 (NY) |
|---|
Record details
| NPI number | 1306477955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 3, 2020 |
| Last updated in NPPES | February 6, 2020 |
| Certification date | February 6, 2020 |
| Mailing address | 7315 194th St, Fresh Meadows, NY 11366-1835 |
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