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1043641848
ELISE DECONZO
STATEN ISLAND, NY
NPI
1043641848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0227501)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
-- ELISE DECONZO
58 SEAVIEW AVE
STATEN ISLAND, NY 10304-2819
Phone number: 917-969-8471
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Mailing Address
-- ELISE DECONZO
58 SEAVIEW AVE
STATEN ISLAND, NY 10304-2819
Phone number:
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