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1861136293
TATIANA ALEXANDRA PETROVICK
NEW YORK, NY
NPI
1861136293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
TATIANA ALEXANDRA PETROVICK MD
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 212-263-5506
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Mailing Address
TATIANA ALEXANDRA PETROVICK MD
50 NEPPERHAN ST APT 2512
YONKERS, NY 10701-3852
Phone number:
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