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1699318295
SERGEY SMIRNOV
BRONX, NY
NPI
1699318295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345197)
Enumeration Date
2019-10-26
Last Update Date
2019-10-26
Business Address
SERGEY SMIRNOV NP
6629 BROADWAY APT 5C
BRONX, NY 10471-2040
Phone number: 646-552-6494
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Mailing Address
SERGEY SMIRNOV NP
6629 BROADWAY APT 5C
BRONX, NY 10471-2040
Phone number: 646-552-6494
Copy
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