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1982679023
LADA OSIPOVA
WEST ISLIP, NY
NPI
1982679023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 215517)
Enumeration Date
2006-02-22
Last Update Date
2009-05-13
Business Address
Dr. LADA OSIPOVA D.O
747 MONTAUK HWY
WEST ISLIP, NY 11795
Phone number: 631-321-1286
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Mailing Address
Dr. LADA OSIPOVA D.O
747 MONTAUK HWY
WEST ISLIP, NY 11795
Phone number: 631-321-1286
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