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1356936108
MANASHIR RUVINOV
BROOKLYN, NY
NPI
1356936108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F352190-01)
Enumeration Date
2021-03-03
Last Update Date
2024-10-18
Business Address
MANASHIR RUVINOV
331 KINGS HWY STE A
BROOKLYN, NY 11223-1443
Phone number: 646-995-9999
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Mailing Address
MANASHIR RUVINOV
1375 CONEY ISLAND AVE PMB 1000
BROOKLYN, NY 11230-1116
Phone number: 917-545-2292
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