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1265483481
ALEXANDER YAKOV FACTOUROVICH
BINGHAMTON, NY
NPI
1265483481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 233180)
Enumeration Date
2006-05-12
Last Update Date
2015-12-24
Business Address
-- ALEXANDER YAKOV FACTOUROVICH MD
10-42 MITCHELL AVE
BINGHAMTON, NY 13903-1617
Phone number: 607-762-2990
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Mailing Address
-- ALEXANDER YAKOV FACTOUROVICH MD
43 SAN MARCO DR
JOHNSON CITY, NY 13790-5017
Phone number: 607-729-7955
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