Most Relevant Information
Provider Data
| NPI Number: | 1003580770 |
| Provider Name: | VIKTORIYA DUDAL |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2021 |
| Last Updated: | 08/05/2021 |
Provider Practice Location
116 W 32ND ST
NEW YORK
NY
100013212
Practice Location Phone/Fax
| Phone: | 2125642350 |
| Fax: |
Provider Mailing Location
116 W 32ND ST
NEW YORK
NY
100013212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |