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1629142047
IAN PRAVDA
MANHASSET, NY
NPI
1629142047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NY 111507)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mr. IAN PRAVDA MD
444 COMMUNITY DRIVE
MANHASSET, NY 11030
Phone number: 516-627-5540
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Mailing Address
Mr. IAN PRAVDA MD
444 COMMUNITY DRIVE
MANHASSET, NY 11030
Phone number: 516-627-5540
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