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1194393322
IOSIF KIMATOV
ASTORIA, NY
NPI
1194393322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 01232001)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
IOSIF KIMATOV
30-63 38 ST
ASTORIA, NY 11103
Phone number: 718-932-1269
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Mailing Address
IOSIF KIMATOV
3063 38TH ST
ASTORIA, NY 11103-4172
Phone number:
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