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1043533359
CORALIA IVAN-SUCIA
FLUSHING, NY
NPI
1043533359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
-- CORALIA IVAN-SUCIA
14461 ROOSEVELT AVE
FLUSHING, NY 11354-6252
Phone number: 718-939-8700
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Mailing Address
-- CORALIA IVAN-SUCIA
14461 ROOSEVELT AVE
FLUSHING, NY 11354-6252
Phone number: 718-939-8700
Copy
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