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1023609682
IMTISAL TABBASSUM
REGO PARK, NY
NPI
1023609682
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Professional Name
IMTISAL TABBASSUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 105488)
Enumeration Date
2021-01-27
Last Update Date
2021-03-24
Business Address
IMTISAL TABBASSUM
98120 QUEENS BLVD STE 1C
REGO PARK, NY 11374-4414
Phone number: 718-830-0246
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Mailing Address
IMTISAL TABBASSUM
189 LYON ST
VALLEY STREAM, NY 11580-3101
Phone number:
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