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1285724013
SERGIY SHAVARAN
BRONX, NY
NPI
1285724013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010239)
Enumeration Date
2006-10-13
Last Update Date
2010-01-29
Business Address
Mr. SERGIY SHAVARAN PA
MMC - DEPT. OF MEDICINE 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-2961
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Mailing Address
Mr. SERGIY SHAVARAN PA
9833 64TH AVE APT 3-G
REGO PARK, NY 11374-2544
Phone number: 347-416-2060
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