Provider Information for 1275127813
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Dr. IGOR BELOKON Ph.D., Psy.D.
Sex: Male
NPI: 1275127813
Last Updated: 2021-02-24
Certification Date: 2021-02-24
Certification Date: 2021-02-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275127813 | ||||||||
| Enumeration Date | 2021-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3440 NE 192ND ST APT 4K AVENTURA, FL 33180-2424 United States Phone: 305-335-8531 | Fax: | ||||||||
| Primary Practice Address | 3440 NE 192ND ST APT 4K AVENTURA, FL 33180-2424 United States Phone: 305-335-8531 | Fax: | ||||||||
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