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1063533958
RAISA VERNOVSKY
STATEN ISLAND, NY
NPI
1063533958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 170826)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
RAISA VERNOVSKY
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-667-2300
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Mailing Address
RAISA VERNOVSKY
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number:
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