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1710621453
SHANAN BARUA
MINEOLA, NY
NPI
1710621453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 390200000X)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
SHANAN BARUA MD
222 STATION PLZ N
MINEOLA, NY 11501-3800
Phone number: 516-663-8794
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Mailing Address
SHANAN BARUA MD
263 FULTON ST
WESTBURY, NY 11590-2123
Phone number: 516-305-2362
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