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1962274928
NICHOLAS KONOVALOV
BROOKLYN, NY
NPI
1962274928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 050810-01)
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
NICHOLAS KONOVALOV PT, DPT
794 UNION ST STE 3
BROOKLYN, NY 11215-7724
Phone number: 646-841-1402
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Mailing Address
NICHOLAS KONOVALOV PT, DPT
31 E 32ND ST FL 4
NEW YORK, NY 10016-5595
Phone number: 212-759-2282
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