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1194304725
ILYA FRID
VALHALLA, NY
NPI
1194304725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
-- ILYA FRID
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-7000
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Mailing Address
-- ILYA FRID
426 MULBERRY ST APT 308
SCRANTON, PA 18503-1510
Phone number: 206-437-6854
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