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1407612682
DANYLO FEDOTOV
BROOKLYN, NY
NPI
1407612682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NY 2108052DCA)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
DANYLO FEDOTOV
621 BRIGHTON BEACH AVE STE 215
BROOKLYN, NY 11235-6405
Phone number: 347-728-7774
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Mailing Address
DANYLO FEDOTOV
PO BOX 240430
BROOKLYN, NY 11224-0430
Phone number:
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