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1205675139
ROBERT KOSTANYAN
CONGERS, NY
NPI
1205675139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2024-05-21
Last Update Date
2024-07-02
Business Address
Mr. ROBERT KOSTANYAN
75 LAKE RD SUITE A # 144
CONGERS, NY 10920
Phone number: 914-729-7999
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Mailing Address
Mr. ROBERT KOSTANYAN
75 LAKE RD SUITE A # 144
CONGERS, NY 10920
Phone number: 914-729-7999
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