GENNADI JOSOVICH

MERRICK, NY
NPI1114274776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  249441031)
Enumeration Date2012-08-13
Last Update Date2012-08-13
Business Address
-- GENNADI JOSOVICH
2068 BERKLEY LN
MERRICK, NY 11566-5514
Phone number: 917-642-0644
Mailing Address
-- GENNADI JOSOVICH
2068 BERKLEY LN
MERRICK, NY 11566-5514
Phone number: 917-642-0644
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