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1326101601
MIKHAIL MAMONTOV
BROOKLYN, NY
NPI
1326101601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 212531)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Mr. MIKHAIL MAMONTOV MD
INTERFAITH MEDICAL CENTER 1545 ATLANTIC AVE
BROOKLYN, NY 11213
Phone number: 718-613-4856
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Mailing Address
Mr. MIKHAIL MAMONTOV MD
2269 EAST 29TH STREET
BROOKLYN, NY 11229
Phone number: 718-613-4000
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