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1154422095
POLINA KHOSHAYEV
JAMAICA, NY
NPI
1154422095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 009130)
Enumeration Date
2006-09-25
Last Update Date
2009-08-11
Business Address
Ms. POLINA KHOSHAYEV PA
82-68 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Ms. POLINA KHOSHAYEV PA
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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