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1154761260
DANA PERDOMO
LINDENHURST, NY
NPI
1154761260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 869150)
Enumeration Date
2013-07-03
Last Update Date
2013-07-03
Business Address
-- DANA PERDOMO
417 S 6TH ST
LINDENHURST, NY 11757-4636
Phone number: 631-926-1908
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Mailing Address
-- DANA PERDOMO
417 S 6TH ST
LINDENHURST, NY 11757-4636
Phone number: 631-926-1908
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