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1366760845
YAN G PONOMAREV
NEW YORK, NY
NPI
1366760845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 031293)
Enumeration Date
2010-05-09
Last Update Date
2010-05-09
Business Address
-- YAN G PONOMAREV DPT
340 E 24TH ST
NEW YORK, NY 10010-4019
Phone number: 212-585-6115
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Mailing Address
-- YAN G PONOMAREV DPT
7143 NANSEN ST
FOREST HILLS, NY 11375-6729
Phone number: 347-458-1280
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