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1457561920
IGOR A. TALIS
FAR ROCKAWAY, NY
NPI
1457561920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 253007)
Enumeration Date
2007-05-23
Last Update Date
2009-06-05
Business Address
Dr. IGOR A. TALIS D.O.
5115 BEACH CHANNEL DR PMC
FAR ROCKAWAY, NY 11691-1042
Phone number: 718-734-3027
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Mailing Address
Dr. IGOR A. TALIS D.O.
2728 KINGS HWY APT F11
BROOKLYN, NY 11229-1780
Phone number: 917-902-0933
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