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1114502028
ILENE HOPE MALEFATTO
MELVILLE, NY
NPI
1114502028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
ILENE HOPE MALEFATTO
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
ILENE HOPE MALEFATTO
16 SPARTON LN
COMMACK, NY 11725-1317
Phone number: 631-219-6456
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