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1568713774
OLGA FATAKHOVA
NEW YORK, NY
NPI
1568713774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007568)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
-- OLGA FATAKHOVA PA
100 E 71ST ST
NEW YORK, NY 10021-4936
Phone number: 212-434-6366
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Mailing Address
-- OLGA FATAKHOVA PA
16814 71ST AVE
FRESH MEADOWS, NY 11365-3222
Phone number: 718-487-3387
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