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1255959060
TATIANA J TENEZACA PERALTA
BROOKLYN, NY
NPI
1255959060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
TATIANA J TENEZACA PERALTA MS
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219-1831
Phone number: 917-202-6248
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Mailing Address
TATIANA J TENEZACA PERALTA MS
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219-1831
Phone number:
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