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1033157219
COSTA FOTOPOULOS
BROOKLYN, NY
NPI
1033157219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: NY 000412-1)
Enumeration Date
2006-06-02
Last Update Date
2008-04-15
Business Address
Mr. COSTA FOTOPOULOS R.D., M.S., C.N.S.
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
Mr. COSTA FOTOPOULOS R.D., M.S., C.N.S.
2726 FRANCIS LEWIS BLVD
FLUSHING, NY 11358-1147
Phone number: 718-358-5765
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