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Individual

ILYA SAPOZHNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
49 BOKEE CT APT 3A, BROOKLYN, NY 11223-6166
(718) 450-7242
Mailing address
49 BOKEE CT APT 3A, BROOKLYN, NY 11223-6166
(718) 450-7242

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057504
NY

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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