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1164783023
ELIZABETH FORESTA
MASSAPEQUA, NY
NPI
1164783023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 871488)
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
Ms. ELIZABETH FORESTA M.S.Ed
401 MASSAPEQUA AVE
MASSAPEQUA, NY 11758-5221
Phone number: 631-807-5042
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Mailing Address
Ms. ELIZABETH FORESTA M.S.Ed
401 MASSAPEQUA AVE
MASSAPEQUA, NY 11758-5221
Phone number: 631-807-5042
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