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Individual

DR. ANDREW KUZNETSOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
600 1ST AVE APT 2, NEW HYDE PARK, NY 11040-4815
(718) 404-8985
Mailing address
600 1ST AVE APT 2, NEW HYDE PARK, NY 11040-4815
(718) 404-8985

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055500
NY

Other

Enumeration date
06/01/2011
Last updated
07/13/2011
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