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1134211741
KONSTANTIN YERETSKY
LAKE SUCCESS, NY
NPI
1134211741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 217992)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- KONSTANTIN YERETSKY MD
2800 MARCUS AVENUE
LAKE SUCCESS, NY 11042
Phone number: 516-622-7405
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Mailing Address
-- KONSTANTIN YERETSKY MD
2800 MARCUS AVENUE
LAKE SUCCESS, NY 11042
Phone number: 516-622-7405
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