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1164631800
VLAD KONONCHUK
GLEN OAKS, NY
NPI
1164631800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NY 246523)
Enumeration Date
2007-05-21
Last Update Date
2010-07-08
Business Address
Dr. VLAD KONONCHUK M.D.
75-59 263RD ST
GLEN OAKS, NY 11004
Phone number: 718-470-4834
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Mailing Address
Dr. VLAD KONONCHUK M.D.
75-59 263RD STREET
GLEN OAKS, NY 11004
Phone number: 718-470-4834
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