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1639469356
SOFIYA PENKHASOVA
ELMHURST, NY
NPI
1639469356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014727-1)
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
-- SOFIYA PENKHASOVA PA
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-4848
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Mailing Address
-- SOFIYA PENKHASOVA PA
8016 167TH ST
JAMAICA, NY 11432-1232
Phone number: 171-860-7992
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