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1114264090
LEONORA REVICH
BROOKLYN, NY
NPI
1114264090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 362976)
Enumeration Date
2013-01-11
Last Update Date
2013-01-11
Business Address
-- LEONORA REVICH M.D.
215 BAY 49TH ST 1 FLOOR
BROOKLYN, NY 11214-7201
Phone number: 917-971-8837
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Mailing Address
-- LEONORA REVICH M.D.
215 BAY 49TH ST 1 FLOOR
BROOKLYN, NY 11214-7201
Phone number: 917-971-8837
Copy
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