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1306380514
SARA NISANOV
FLUSHING, NY
NPI
1306380514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 63021114)
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
-- SARA NISANOV
9901 34TH AVE
FLUSHING, NY 11368-1009
Phone number: 917-863-3238
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Mailing Address
-- SARA NISANOV
14145 79TH AVE APT 2A
FLUSHING, NY 11367-3615
Phone number:
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