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1497301808
VADIM BENIAMINOV
JAMAICA, NY
NPI
1497301808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
VADIM BENIAMINOV
9114 MERRICK BLVD FL 6
JAMAICA, NY 11432-5363
Phone number: 718-408-7178
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Mailing Address
VADIM BENIAMINOV
9114 MERRICK BLVD FL 6
JAMAICA, NY 11432-5363
Phone number: 718-408-7178
Copy
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