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1174954002
TAISIA VITKOVSKI
NEW HYDE PARK, NY
NPI
1174954002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY 272384)
Enumeration Date
2013-12-03
Last Update Date
2018-06-05
Business Address
TAISIA VITKOVSKI D.O.
6 OHIO DR SUITE 202
NEW HYDE PARK, NY 11042
Phone number: 516-304-7295
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Mailing Address
TAISIA VITKOVSKI D.O.
6 OHIO DR SUITE 202
NEW HYDE PARK, NY 11042-1124
Phone number: 516-304-7295
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