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1710950878
RAISA NOVOFASTOVSKY
BROOKLYN, NY
NPI
1710950878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NY N 004903)
Enumeration Date
2006-02-09
Last Update Date
2013-08-19
Business Address
-- RAISA NOVOFASTOVSKY
1812 QUENTIN RD SUITE M-2
BROOKLYN, NY 11229-1336
Phone number: 718-382-1773
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Mailing Address
-- RAISA NOVOFASTOVSKY
1812 QUENTIN RD SUITE M-2
BROOKLYN, NY 11229-1336
Phone number: 718-382-1773
Copy
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