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1710934765
MICHAEL BARANOV
BROOKLYN, NY
NPI
1710934765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 021269)
Enumeration Date
2006-05-27
Last Update Date
2021-10-18
Business Address
Mr. MICHAEL BARANOV
4119 18TH AVE
BROOKLYN, NY 11218-5709
Phone number: 718-975-3515
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Mailing Address
Mr. MICHAEL BARANOV
15611 AGUILAR AVE # 1018
FLUSHING, NY 11367-2732
Phone number: 718-975-3515
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