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Individual
MOSHE OVAIDOV
Active
Individual
MOSHE OVAIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
013810
NY
363A00000X
Physician Assistant
Primary
013810
NY
Other
Enumeration date
01/07/2010
Last updated
02/11/2017
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