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1285805994
LARISA NOVODVORSKAYA
STATEN ISLAND, NY
NPI
1285805994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 046324-1)
Enumeration Date
2008-03-20
Last Update Date
2017-11-22
Business Address
Mrs. LARISA NOVODVORSKAYA
325 NEW DORP LN
STATEN ISLAND, NY 10306-3005
Phone number: 718-351-2400
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Mailing Address
Mrs. LARISA NOVODVORSKAYA
325 NEW DORP LN
STATEN ISLAND, NY 10306-3005
Phone number: 718-351-2400
Copy
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