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1255182986
DEMIANA ISHAK
STONY BROOK, NY
NPI
1255182986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
DEMIANA ISHAK DPM
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-644-1450
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Mailing Address
DEMIANA ISHAK DPM
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number:
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