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1427678341
MARK DEDVUKAJ
SYRACUSE, NY
NPI
1427678341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
Dr. MARK DEDVUKAJ MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-5540
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Mailing Address
Dr. MARK DEDVUKAJ MD
30 TYNDALE PL
YONKERS, NY 10701-5431
Phone number:
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