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1154767390
DZENETA DIZDARVIC
STATEN ISLAND, NY
NPI
1154767390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
-- DZENETA DIZDARVIC
400 LAKE AVE
STATEN ISLAND, NY 10303-2629
Phone number: 718-816-3420
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Mailing Address
-- DZENETA DIZDARVIC
400 LAKE AVE
STATEN ISLAND, NY 10303-2629
Phone number: 718-816-3420
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