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1346724770
GEORGIY YEGIAZAROV
SYRACUSE, NY
NPI
1346724770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022633)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2018-09-21
Last Update Date
2023-06-23
Business Address
GEORGIY YEGIAZAROV PA
725 E. ADAMS STREET 5TH FL
SYRACUSE, NY 13210
Phone number: 315-464-5726
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Mailing Address
GEORGIY YEGIAZAROV PA
725 E. ADAMS STREET 5TH FL
SYRACUSE, NY 13210
Phone number:
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