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1649379934
MARK DASHEVSKIY
BRONX, NY
NPI
1649379934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 223331)
Enumeration Date
2006-09-22
Last Update Date
2015-09-29
Business Address
-- MARK DASHEVSKIY D.O
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
-- MARK DASHEVSKIY D.O
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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