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1962738534
DMITRY VINNIKOV
BROOKLYN, NY
NPI
1962738534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 013664)
Enumeration Date
2009-11-02
Last Update Date
2013-10-04
Business Address
Mr. DMITRY VINNIKOV RPA-C
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-3000
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Mailing Address
Mr. DMITRY VINNIKOV RPA-C
11701 PARK LN S APT D2G
RICHMOND HILL, NY 11418-1052
Phone number: 917-885-5960
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