ODED HAIDATOV

FLUSHING, NY
NPI1144577925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  015869)
Enumeration Date2012-08-10
Last Update Date2012-09-13
Business Address
Mr. ODED HAIDATOV PA
14707A 77TH RD
FLUSHING, NY 11367-3428
Phone number: 646-898-7420
Mailing Address
Mr. ODED HAIDATOV PA
14707A 77TH RD
FLUSHING, NY 11367-3428
Phone number: 646-898-7420
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