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1942945985
ODELYA TABIBOV
MANHASSET, NY
NPI
1942945985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F345304-01)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
ODELYA TABIBOV FNP
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
ODELYA TABIBOV FNP
9946 64TH AVE
REGO PARK, NY 11374-2645
Phone number:
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