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1790766970
ROMAN KOLDAYEV
LAWRENCE, NY
NPI
1790766970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 206990)
Enumeration Date
2005-11-07
Last Update Date
2012-03-19
Business Address
Dr. ROMAN KOLDAYEV M.D.
215 ROCKAWAY TPKE
LAWRENCE, NY 11559-1216
Phone number: 516-374-5024
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Mailing Address
Dr. ROMAN KOLDAYEV M.D.
215 ROCKAWAY TPKE
LAWRENCE, NY 11559-1216
Phone number: 516-374-5024
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