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1134267313
TATYANA SERGEYEVA
STATEN ISLAND, NY
NPI
1134267313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- TATYANA SERGEYEVA
215 DRUM RD RM D-113
STATEN ISLAND, NY 10305-5001
Phone number: 718-354-4414
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Mailing Address
-- TATYANA SERGEYEVA
21 REMSEN ST APT 1ST FLOOR
STATEN ISLAND, NY 10304-4117
Phone number:
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