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1851003727
MARINA ELNATANOVA
FLUSHING, NY
NPI
1851003727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY F349268-01)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
MARINA ELNATANOVA
14431 72ND DR
FLUSHING, NY 11367-2403
Phone number: 917-318-6876
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Mailing Address
MARINA ELNATANOVA
14431 72ND DR
FLUSHING, NY 11367-2403
Phone number: 917-318-6876
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