VLADISLAV KUZNETSOV

STATEN ISLAND, NY
NPI1972741023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007745)
Enumeration Date2009-01-28
Last Update Date2017-11-10
Business Address
Mr. VLADISLAV KUZNETSOV PA
30 RIDGE LOOP
STATEN ISLAND, NY 10304-1403
Phone number: 917-836-7374
Mailing Address
Mr. VLADISLAV KUZNETSOV PA
30 RIDGE LOOP
STATEN ISLAND, NY 10304-1403
Phone number: 917-836-7374
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