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1972684751
MAYYA FASOLYA
BROOKLYN, NY
NPI
1972684751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 219839-1)
Enumeration Date
2006-10-18
Last Update Date
2012-11-28
Business Address
MS. MAYYA FASOLYA D.O.
2814 CLARENDON RD
BROOKLYN, NY 11226-6318
Phone number: 718-469-7363
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Mailing Address
MS. MAYYA FASOLYA D.O.
1654 E 13TH ST APT 1D
BROOKLYN, NY 11229-1152
Phone number: 718-375-5989
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