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1871737163
NICHOLAS VLASSENKO
STATEN ISLAND, NY
NPI
1871737163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 018529-1)
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
-- NICHOLAS VLASSENKO PT
4280 HYLAN BLVD
STATEN ISLAND, NY 10312-6526
Phone number: 718-227-1832
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Mailing Address
-- NICHOLAS VLASSENKO PT
4280 HYLAN BLVD
STATEN ISLAND, NY 10312
Phone number: 718-227-1832
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