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1609851195
VITALIY KHALDAROV
FLUSHING, NY
NPI
1609851195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 218084)
Enumeration Date
2005-12-07
Last Update Date
2010-05-27
Business Address
-- VITALIY KHALDAROV M.D.
19615 75TH AVE
FLUSHING, NY 11366-1813
Phone number: 917-816-4597
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Mailing Address
-- VITALIY KHALDAROV M.D.
19615 75TH AVE
FRESH MEADOWS, NY 11366
Phone number: 917-816-4597
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