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1356192496
ANDREW BASTAUROSS
STATEN ISLAND, NY
NPI
1356192496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
ANDREW BASTAUROSS DPM
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5912
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Mailing Address
ANDREW BASTAUROSS DPM
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5912
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