BACHOR SIYVNOVA

BRONX, NY
NPI1043760556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  020451)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-10-07
Last Update Date2020-10-27
Business Address
BACHOR SIYVNOVA
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
Mailing Address
BACHOR SIYVNOVA
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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