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1336682814
NICHOLAS PAVLOV
BROOKLYN, NY
NPI
1336682814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 024508-1)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
Mr. NICHOLAS PAVLOV
383 STATE ST
BROOKLYN, NY 11217-1706
Phone number: 718-852-1701
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Mailing Address
Mr. NICHOLAS PAVLOV
383 STATE ST
BROOKLYN, NY 11217-1706
Phone number: 917-865-0650
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