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1114430642
STEPHANIE VIRASAWMI
BRONX, NY
NPI
1114430642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZA2600X Specialist/Technologist, Other, Art, Medical
(Licence: NY 002036)
Enumeration Date
2017-11-06
Last Update Date
2017-12-11
Business Address
STEPHANIE VIRASAWMI M.A, ATR-BC,LCAT
4419 3RD AVE
BRONX, NY 10457-2562
Phone number: 718-364-7700
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Mailing Address
STEPHANIE VIRASAWMI M.A, ATR-BC,LCAT
34 FIG ST
CENTRAL ISLIP, NY 11722-4002
Phone number:
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