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1841217312
MARK BASIL FARID
STATEN ISLAND, NY
NPI
1841217312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NO LICENSE REQUIRED)
Enumeration Date
2006-07-17
Last Update Date
2009-02-24
Business Address
MR. MARK BASIL FARID CERTIFIED PEDORTHIS
300 SHIRLEY AVE
STATEN ISLAND, NY 10312-5455
Phone number: 718-948-6353
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Mailing Address
MR. MARK BASIL FARID CERTIFIED PEDORTHIS
300 SHIRLEY AVE
STATEN ISLAND, NY 10312-5455
Phone number: 718-948-6353
Copy
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