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1104290444
MATTHEW CRISCUOLA
RIDGEWOOD, NY
NPI
1104290444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 022721)
Enumeration Date
2015-11-24
Last Update Date
2016-12-12
Business Address
-- MATTHEW CRISCUOLA
1666 HANCOCK ST
RIDGEWOOD, NY 11385-4727
Phone number: 718-456-7588
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Mailing Address
-- MATTHEW CRISCUOLA
1666 HANCOCK ST
RIDGEWOOD, NY 11385-4727
Phone number: 718-456-7588
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