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1730160920
YANINA ETLIS
REGO PARK, NY
NPI
1730160920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 228241)
Enumeration Date
2005-11-07
Last Update Date
2021-03-29
Business Address
YANINA ETLIS D.O.
9785 QUEENS BLVD
REGO PARK, NY 11374-3319
Phone number: 718-261-9100
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Mailing Address
YANINA ETLIS D.O.
9785 QUEENS BLVD
REGO PARK, NY 11374-3319
Phone number: 718-261-9100
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