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1114661717
NIKOLAY A IVANOV
NEW YORK, NY
NPI
1114661717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
NIKOLAY A IVANOV MD
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
NIKOLAY A IVANOV MD
420 E 70TH ST APT 14N1
NEW YORK, NY 10021-5354
Phone number: 240-855-4027
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