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1003104456
MAZUROV MEDICAL PC
STATEN ISLAND, NY
NPI
1003104456
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Entity Type
Organization
Authorized Contact
BORIS MAZUROV
Owner
718-966-1738
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 210722-1)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
MAZUROV MEDICAL PC
505 JEFFERSON BLVD
STATEN ISLAND, NY 10312-2225
Phone number: 718-966-1738
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Mailing Address
MAZUROV MEDICAL PC
505 JEFFERSON BLVD
STATEN ISLAND, NY 10312-2225
Phone number:
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