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1083915755
FARNAZ LAVIANLIVI
FLUSHING, NY
NPI
1083915755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 415984101)
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
Miss FARNAZ LAVIANLIVI M.S.
14746 78TH AVE
FLUSHING, NY 11367-3433
Phone number: 212-920-9517
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Mailing Address
Miss FARNAZ LAVIANLIVI M.S.
14746 78TH AVE
FLUSHING, NY 11367-3433
Phone number: 212-920-9517
Copy
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