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1023697356
NISSAN SHLOMO FRAGER
GLEN OAKS, NY
NPI
1023697356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-05
Last Update Date
2024-06-20
Business Address
Dr. NISSAN SHLOMO FRAGER MD
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8100
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Mailing Address
Dr. NISSAN SHLOMO FRAGER MD
13749 70TH AVE APT 1B
FLUSHING, NY 11367-1925
Phone number: 215-779-6949
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