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1003871179
OLEG KOTELSKIY
BROOKLYN, NY
NPI
1003871179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 2050591)
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
-- OLEG KOTELSKIY D.O.
3816 NOSTRAND AVE
BROOKLYN, NY 11235-2013
Phone number: 718-338-2323
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Mailing Address
-- OLEG KOTELSKIY D.O.
3816 NOSTRAND AVE
BROOKLYN, NY 11235-2013
Phone number: 718-338-2323
Copy
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