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1033352802
TATYANA PUKHOVICH
KEW GARDENS, NY
NPI
1033352802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 070452-1)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- TATYANA PUKHOVICH
8002 KEW GARDENS RD
KEW GARDENS, NY 11415-3600
Phone number: 718-793-2182
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Mailing Address
-- TATYANA PUKHOVICH
2 MANOR CT
NEW HYDE PARK, NY 11040-2110
Phone number: 718-793-2182
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