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1215656053
IYAD YOUSEF MOHAMMAD IDRIES
BROOKLYN, NY
NPI
1215656053
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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
2022-08-24
Last Update Date
2022-08-24
Business Address
IYAD YOUSEF MOHAMMAD IDRIES
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3139
Phone number: 347-715-8901
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Mailing Address
IYAD YOUSEF MOHAMMAD IDRIES
475 E 94TH ST
BROOKLYN, NY 11212-1621
Phone number: 347-715-8901
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