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1306109160
KSENIYA TARAN
BROOKLYN, NY
NPI
1306109160
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Former Name
OKSANA TARANOVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 356620091)
Enumeration Date
2012-06-18
Last Update Date
2012-06-22
Business Address
Ms. KSENIYA TARAN M.D
1270 E 19TH ST APT 4A
BROOKLYN, NY 11230-5412
Phone number: 347-628-1665
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Mailing Address
Ms. KSENIYA TARAN M.D
1270 E 19TH ST APT 4A
BROOKLYN, NY 11230-5412
Phone number: 347-628-1665
Copy
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