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Organization
KTV.INC
Active
Organization
KTV.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANA MILASHEVICH (PRESIDENT)
(347) 701-1030
Entity
Organization
Contact information
Practice address
2955 SHELL RD APT 1M, BROOKLYN, NY 11224-3638
(347) 701-1030
Mailing address
2955 SHELL RD APT 1M, BROOKLYN, NY 11224-3638
(347) 701-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1324511
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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