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1043709348
ITAMAR NIESVIZKY-KOGAN
SYRACUSE, NY
NPI
1043709348
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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
2018-05-02
Last Update Date
2018-05-02
Business Address
ITAMAR NIESVIZKY-KOGAN MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-4570
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Mailing Address
ITAMAR NIESVIZKY-KOGAN MD
60 PRESIDENTIAL PLZ APT 617
SYRACUSE, NY 13202-2216
Phone number:
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