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1013035963
FRANK PETER TAVELLA
JAMAICA, NY
NPI
1013035963
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Professional Name
FRANCIS PETER TAVELLA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 003168-1)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mr. FRANK PETER TAVELLA CRC
91-01 MERRICK BLVD
JAMAICA, NY 11432
Phone number: 718-523-4242
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Mailing Address
Mr. FRANK PETER TAVELLA CRC
235 HAMILTON AVE
MASSAPEQUA, NY 11758-4007
Phone number: 516-799-1686
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