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1003169095
NICOLE LEE AMBROSE
STATEN ISLAND, NY
NPI
1003169095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021832)
Enumeration Date
2012-10-16
Last Update Date
2020-06-03
Business Address
Ms. NICOLE LEE AMBROSE
1000 SOUTH AVENUE
STATEN ISLAND, NY 10314-3409
Phone number: 718-477-0961
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Mailing Address
Ms. NICOLE LEE AMBROSE
350 RICHMOND TER APT 3C
STATEN ISLAND, NY 10301-1518
Phone number: 917-974-2198
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