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Konstantin Detchkov
NPI 1962948570 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3280 Reservoir Oval E Apt A6
Bronx, NY 10467 - Phone
- (347) 337-2436
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York