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1386039220
JANINE FETISOV
BROOKLYN, NY
NPI
1386039220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018517)
Enumeration Date
2015-03-30
Last Update Date
2020-08-26
Business Address
JANINE FETISOV PA-C
374 STOCKHOLM ST
BROOKLYN, NY 11237-4006
Phone number: 718-963-7272
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Mailing Address
JANINE FETISOV PA-C
8633 DEXTER CT
WOODHAVEN, NY 11421-1028
Phone number: 347-444-9055
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