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1881446235
IVAN CONSTANTINO AIVASOVSKY
BRONX, NY
NPI
1881446235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-01
Last Update Date
2024-04-03
Business Address
IVAN CONSTANTINO AIVASOVSKY MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 000-000-0000
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Mailing Address
IVAN CONSTANTINO AIVASOVSKY MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 000-000-0000
Copy
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