NIKITA SHMYRIN

STONY BROOK, NY
NPI1477273613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  028767)
Enumeration Date2022-08-29
Last Update Date2022-08-29
Business Address
NIKITA SHMYRIN
21 VALLEY RD
STONY BROOK, NY 11790-1615
Phone number: 516-595-4252
Mailing Address
NIKITA SHMYRIN
21 VALLEY RD
STONY BROOK, NY 11790-1615
Phone number: 516-595-4252
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