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1003157090
SOPHIA NATANELOVA
PLAINVIEW, NY
NPI
1003157090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 703393131)
Enumeration Date
2013-03-15
Last Update Date
2013-06-21
Business Address
-- SOPHIA NATANELOVA
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number: 171-857-0648
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Mailing Address
-- SOPHIA NATANELOVA
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number:
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