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1396063566
DAVID DAVYDOV
FOREST HILLS, NY
NPI
1396063566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013921)
Enumeration Date
2010-05-12
Last Update Date
2011-06-22
Business Address
Mr. DAVID DAVYDOV RPA-C
10201 66TH RD
FOREST HILLS, NY 11375-2029
Phone number: 718-830-4093
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Mailing Address
Mr. DAVID DAVYDOV RPA-C
10201 66TH RD
FOREST HILLS, NY 11375-2029
Phone number:
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