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1649287848
SETH R DIVACK
NEW YORK, NY
NPI
1649287848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 206903)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- SETH R DIVACK M.D.
153 W 11TH ST
NEW YORK, NY 10011-8305
Phone number: 212-604-7566
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Mailing Address
-- SETH R DIVACK M.D.
PO BOX 270
MASSAPEQUA PARK, NY 11762-0270
Phone number: 631-264-2035
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