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1245958230
ALLEN YEVTUKHOV
STATEN ISLAND, NY
NPI
1245958230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
ALLEN YEVTUKHOV
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
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Mailing Address
ALLEN YEVTUKHOV
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
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