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1306100953
LISA GENOVA
STATEN ISLAND, NY
NPI
1306100953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 569374111)
Enumeration Date
2012-06-28
Last Update Date
2012-06-28
Business Address
Ms. LISA GENOVA MS
888 STAFFORD AVENUE
STATEN ISLAND, NY 10309
Phone number: 347-907-9688
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Mailing Address
Ms. LISA GENOVA MS
888 STAFFORD AVENUE
STATEN ISLAND, NY 10309
Phone number: 347-907-9688
Copy
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