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NPI Code Detail

MEDICARE: ROMAN MASLOVSKIY PHD

MEDICARE:   ROMAN  MASLOVSKIY  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist020072NY

General Provider Information

NPI Number : 1215184437
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMAN MASLOVSKIY PHD
Provider Business Mailing Address
First Line : 3512 QUENTIN RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4231
Country : US
Telephone Number : 800-275-3243
Fax Number :
Provider Business Practice Location Address
First Line : 3512 QUENTIN RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4231
Country : US
Telephone Number : 800-275-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 06/17/2013

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Directions to “ ROMAN MASLOVSKIY PHD” Practice Location

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