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1487334553
LIDA AVETISYAN
BRONX, NY
NPI
1487334553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
Dr. LIDA AVETISYAN MD
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5000
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Mailing Address
Dr. LIDA AVETISYAN MD
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5000
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