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1639312119
VYACHESLAV SUHOSTAVSKIY
BROOKLYN, NY
NPI
1639312119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 015542)
Enumeration Date
2009-04-13
Last Update Date
2009-04-13
Business Address
Mr. VYACHESLAV SUHOSTAVSKIY OTR/L
236 NEPTUNE AVE
BROOKLYN, NY 11235-6302
Phone number: 718-769-2698
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Mailing Address
Mr. VYACHESLAV SUHOSTAVSKIY OTR/L
1311 BRIGHTWATER AVE 5-D
BROOKLYN, NY 11235-5962
Phone number: 917-698-9868
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