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1982956728
EMMA BAGDASAROV
PATCHOGUE, NY
NPI
1982956728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 633774-1)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
Mrs. EMMA BAGDASAROV RN
456 WAVERLY AVE
PATCHOGUE, NY 11772-1586
Phone number: 631-447-6460
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Mailing Address
Mrs. EMMA BAGDASAROV RN
226 CLEVELAND AVE APT 2
MINEOLA, NY 11501-2578
Phone number: 516-592-8323
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