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1568729788
IGOR TKACHUK
STATEN ISLAND, NY
NPI
1568729788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 056964)
Enumeration Date
2012-04-12
Last Update Date
2017-06-13
Business Address
Dr. IGOR TKACHUK
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9877
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Mailing Address
Dr. IGOR TKACHUK
128 SAND LN
STATEN ISLAND, NY 10305-4543
Phone number: 718-273-5006
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