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Individual

EVGENY OVSYANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1660 E 21ST ST, 6F, BROOKLYN, NY 11210-5050
(917) 373-5588
Mailing address
1660 E 21ST ST, 6F, BROOKLYN, NY 11210-5050
(917) 373-5588

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
837566229
NY

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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