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1104160464
VIKTORIYA KHOMENKO
STATEN ISLAND, NY
NPI
1104160464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 035718)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- VIKTORIYA KHOMENKO DPT
520 BLOOMINGDALE RD
STATEN ISLAND, NY 10309-2061
Phone number: 718-605-1300
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Mailing Address
-- VIKTORIYA KHOMENKO DPT
8 BUR CT
MANALAPAN, NJ 07726-1878
Phone number: 732-677-2260
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