Leonid Krupovlyanskiy

NPI #1477368520 in Columbus, Ohio

Provider Information

NPI Number: 1477368520
Entity Type: Individual
Name: Leonid Krupovlyanskiy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Feb 7, 2025
Last Updated: Feb 7, 2025

Practice Location

Address: 3354 E BROAD ST STE A
City: Columbus
State: Ohio
ZIP Code: 43213-1031
Phone: (718) 915-0392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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