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1003178773
JOANNE DECRESENZO
STATEN ISLAND, NY
NPI
1003178773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 633242051)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
-- JOANNE DECRESENZO MSED
89 FREMONT AVE
STATEN ISLAND, NY 10306-2433
Phone number: 347-564-6040
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Mailing Address
-- JOANNE DECRESENZO MSED
89 FREMONT AVE
STATEN ISLAND, NY 10306-2433
Phone number: 347-564-6040
Copy
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