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1639408032
MICHAEL LILOV
BROOKLYN, NY
NPI
1639408032
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Former Name
MIKHAIL SLOBODENYUK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006771-1)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
-- MICHAEL LILOV
4802 10TH AVE
BROOKLYN, NY 11219
Phone number: 718-283-7955
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Mailing Address
-- MICHAEL LILOV
2775 WEST 5TH STREET APT. 14D
BROOKLYN, NY 11224
Phone number: 718-987-2388
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