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1073712303
SVETLANA YAKUSHIN
NEW YORK, NY
NPI
1073712303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011757)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
-- SVETLANA YAKUSHIN PA
100 E 77TH ST
NEW YORK, NY 10075-1850
Phone number: 212-434-2000
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Mailing Address
-- SVETLANA YAKUSHIN PA
372 91ST ST APT 3B
BROOKLYN, NY 11209-5838
Phone number: 718-491-0136
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