Provider Demographics
NPI:1194030866
Name:DAKOV, PEPI
Entity Type:Individual
Prefix:DR
First Name:PEPI
Middle Name:
Last Name:DAKOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6260 99TH ST APT 1227
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-6030
Mailing Address - Country:US
Mailing Address - Phone:718-614-4138
Mailing Address - Fax:
Practice Address - Street 1:6260 99TH ST APT 1227
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-6030
Practice Address - Country:US
Practice Address - Phone:718-614-4138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG