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1255681847
TANYA AGNAIEFF
BRONX, NY
NPI
1255681847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ZZ 215911)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
-- TANYA AGNAIEFF DMD
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 718-918-3419
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Mailing Address
-- TANYA AGNAIEFF DMD
4502 DITMARS BLVD APT 230
ASTORIA, NY 11105-1319
Phone number: 917-943-0804
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