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1245748003
DORA NISIMOV
WOODSIDE, NY
NPI
1245748003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-01-15
Last Update Date
2018-01-15
Business Address
DORA NISIMOV
4277 65TH PL
WOODSIDE, NY 11377-5054
Phone number: 718-429-2000
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Mailing Address
DORA NISIMOV
8529 122ND ST
KEW GARDENS, NY 11415-3231
Phone number: 347-837-2343
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