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1174067425
DIMITRI BAZIN
NEW YORK, NY
NPI
1174067425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY P04485)
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
-- DIMITRI BAZIN PA
3418 BROADWAY OFC 2
NEW YORK, NY 10031-7408
Phone number: 212-283-2099
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Mailing Address
-- DIMITRI BAZIN PA
565 W 125TH ST
NEW YORK, NY 10027-3424
Phone number: 212-470-1000
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