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1134629330
LUISA BONIFACIO
BROOKLYN, NY
NPI
1134629330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 022562)
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
LUISA BONIFACIO PhD
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
LUISA BONIFACIO PhD
1 SAINT PAULS CT APT 6E
BROOKLYN, NY 11226-2829
Phone number: 917-755-3615
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