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1639837537
ROMAN OMELCHENKO
STATEN ISLAND, NY
NPI
1639837537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048350)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
ROMAN OMELCHENKO DPT
31 NEW DORP LN
STATEN ISLAND, NY 10306-2351
Phone number: 718-979-4466
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Mailing Address
ROMAN OMELCHENKO DPT
981 US HIGHWAY 22 FL 2
BRIDGEWATER, NJ 08807-2946
Phone number: 201-801-7141
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