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1134211873
RAISA MATAYEV
FRESH MEADOWS, NY
NPI
1134211873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010414)
Enumeration Date
2006-09-29
Last Update Date
2009-08-04
Business Address
Mrs. RAISA MATAYEV PA
176-60 UNION TURNPIKE SUITE 360
FRESH MEADOWS, NY 11366
Phone number: 718-460-2300
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Mailing Address
Mrs. RAISA MATAYEV PA
176-60 UNION TURNPIKE SUITE 360
FRESH MEADOWS, NY 11366
Phone number: 718-460-2300
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