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1700026911
OLENA KSOVRELI PHYSICIAN PC
BROOKLYN, NY
NPI
1700026911
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Entity Type
Organization
Authorized Contact
OLENA KSOVRELI
President
718-745-1236
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 221578)
Enumeration Date
2009-02-27
Last Update Date
2009-02-27
Business Address
OLENA KSOVRELI PHYSICIAN PC
6735 RIDGE BLVD
BROOKLYN, NY 11220-5248
Phone number: 718-745-1236
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Mailing Address
OLENA KSOVRELI PHYSICIAN PC
145 95TH ST
BROOKLYN, NY 11209-7252
Phone number: 718-833-5924
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