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1487782629
NIKOLAY TARKHANOV
STATEN ISLAND, NY
NPI
1487782629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 243184)
Enumeration Date
2007-03-01
Last Update Date
2008-09-08
Business Address
-- NIKOLAY TARKHANOV M.D.
15 ROME AVE
STATEN ISLAND, NY 10304-4317
Phone number: 718-816-0740
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Mailing Address
-- NIKOLAY TARKHANOV M.D.
15 ROME AVE
STATEN ISLAND, NY 10304-4317
Phone number: 718-816-0740
Copy
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