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1760897383
ROMAN S KAKZANOV
RICHMOND HILL, NY
NPI
1760897383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY Tuv008183-1)
Enumeration Date
2014-06-23
Last Update Date
2018-09-20
Business Address
Dr. ROMAN S KAKZANOV OD
119-15 ATLANTIC AVENUE
RICHMOND HILL, NY 11418
Phone number: 718-805-0700
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Mailing Address
Dr. ROMAN S KAKZANOV OD
105-24 64RD FOREST HILLS APT 2S
NY, NY 11375
Phone number: 917-476-7757
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