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1801843412
PETR ITZHAK
GLENDALE, NY
NPI
1801843412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 234430)
Enumeration Date
2006-05-28
Last Update Date
2007-08-07
Business Address
Dr. PETR ITZHAK D.O.
6805 MYRTLE AVE
GLENDALE, NY 11385-7267
Phone number: 718-366-2242
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Mailing Address
Dr. PETR ITZHAK D.O.
6805 MYRTLE AVE
GLENDALE, NY 11385-7267
Phone number: 718-366-2242
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