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1922183391
MIKHAIL TETROK
NEW YORK, NY
NPI
1922183391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 211321)
Enumeration Date
2006-10-26
Last Update Date
2015-02-24
Business Address
-- MIKHAIL TETROK DO
4290 BROADWAY STE 2S
NEW YORK, NY 10033-3732
Phone number: 212-781-5075
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Mailing Address
-- MIKHAIL TETROK DO
4290 BROADWAY STE 2S
NEW YORK, NY 10033-3732
Phone number: 212-781-5075
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