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1225663552
ANANIAS MOTTA BURGOS
EAST MEADOW, NY
NPI
1225663552
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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
2020-03-06
Last Update Date
2022-04-18
Business Address
ANANIAS MOTTA BURGOS
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-296-2830
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Mailing Address
ANANIAS MOTTA BURGOS
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-296-2830
Copy
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