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1053010777
SAMANTHA VIVIANO
BRONX, NY
NPI
1053010777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032838)
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
SAMANTHA VIVIANO
650 BAYCHESTER AVE
BRONX, NY 10475-1756
Phone number: 718-904-5550
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Mailing Address
SAMANTHA VIVIANO
112 FOLTIM WAY
CONGERS, NY 10920-1424
Phone number:
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