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1922685890
ENZO F FANTIN-YUSTA
NEW YORK, NY
NPI
1922685890
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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
2021-03-26
Last Update Date
2021-03-26
Business Address
Dr. ENZO F FANTIN-YUSTA MD
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029-6504
Phone number: 248-981-8666
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Mailing Address
Dr. ENZO F FANTIN-YUSTA MD
1 GUSTAVE L LEVY PL # 1230
NEW YORK, NY 10029-6504
Phone number: 248-981-8666
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