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1740327857
BORIS S PUGACHEVSKY
BAYSIDE, NY
NPI
1740327857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022292)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- BORIS S PUGACHEVSKY PT
1 BAY CLUB DR APT.14-O
BAYSIDE, NY 11360-2915
Phone number: 917-604-5403
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Mailing Address
-- BORIS S PUGACHEVSKY PT
1 BAY CLUB DR APT.14-O
BAYSIDE, NY 11360-2915
Phone number: 917-604-5403
Copy
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