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1417031956
DIANA SIONOV
ELMHURST, NY
NPI
1417031956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: NY 019124)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Ms. DIANA SIONOV PT
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-5970
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Mailing Address
Ms. DIANA SIONOV PT
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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