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1487394284
NISON BASALILOV
BROOKLYN, NY
NPI
1487394284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY P115473)
Enumeration Date
2022-03-30
Last Update Date
2022-06-06
Business Address
NISON BASALILOV DPM
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3198
Phone number: 718-240-5000
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Mailing Address
NISON BASALILOV DPM
6836 108TH ST APT A14
FOREST HILLS, NY 11375-3348
Phone number: 646-712-3823
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