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1821333667
ISKENDER KHIDAYATOV
BROOKLYN, NY
NPI
1821333667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 646521)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Mr. ISKENDER KHIDAYATOV RN
1809 NOSTRAND AVE 2ND FLR
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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Mailing Address
Mr. ISKENDER KHIDAYATOV RN
1809 NOSTRAND AVE STE 2
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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