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1851930820
DMITRIY KHAFIZOV
BROOKLYN, NY
NPI
1851930820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 024523)
Enumeration Date
2019-12-23
Last Update Date
2019-12-24
Business Address
DMITRIY KHAFIZOV
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3139
Phone number: 718-240-5428
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Mailing Address
DMITRIY KHAFIZOV
7319 195TH ST
FRESH MEADOWS, NY 11366-1839
Phone number: 917-945-5344
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