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1649604810
ROMAN KOLDAYEV MEDICAL P C
OCEANSIDE, NY
NPI
1649604810
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Entity Type
Organization
Authorized Contact
ROMAN KOLDAYEV
President
718-909-7665
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 206990)
Enumeration Date
2013-08-24
Last Update Date
2013-08-24
Business Address
ROMAN KOLDAYEV MEDICAL P C
310 WOODS AVE
OCEANSIDE, NY 11572-2146
Phone number: 718-909-7665
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Mailing Address
ROMAN KOLDAYEV MEDICAL P C
310 WOODS AVE
OCEANSIDE, NY 11572-2146
Phone number: 718-909-7665
Copy
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