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1710551528
DMITRY KOTLYAR
STATEN ISLAND, NY
NPI
1710551528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 494209)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
DMITRY KOTLYAR RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2499
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Mailing Address
DMITRY KOTLYAR RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2499
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