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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | OSMANOFF GARY · OSMANOFF, GARY | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | 00044503 | [sources] | |||
| NPI | 1710188073 | [sources] | |||
| Sector | DDS · Dentist | [sources] | |||
| Status | not available | [sources] | |||
| Address | 317 MARINE AVENUE, BROOKLYN, NY 11209 · NETTER COURT, MARLBORO, NJ 07746 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-570dc43a1686b0f0bc019287dfbbd71ce227c32e · us-mednj-ffa97e16972c173e80f5e968a47a72d04e231636 · us-medny-5033d32c44a0e04474895ea5ea5356ef9ee6def6For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 317 MARINE AVENUE, BROOKLYN, NY 11209 | United States of America | |
| United States of America | New Jersey Office of the State Comptroller | - |
| United States of America | New Jersey Office of the State Comptroller | - |
| NETTER COURT, MARLBORO, NJ 07746 | United States of America |