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1013402171
NICOLE RYAN HAAS
BAY SHORE, NY
NPI
1013402171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027779)
Enumeration Date
2018-06-29
Last Update Date
2023-10-25
Business Address
NICOLE RYAN HAAS
1428 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-241-3924
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Mailing Address
NICOLE RYAN HAAS
155 DARI DR
HOLBROOK, NY 11741-4326
Phone number: 631-241-3924
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