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1396974028
SHELLY S. MISIR
JAMAICA, NY
NPI
1396974028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 009676)
Enumeration Date
2009-07-01
Last Update Date
2009-07-01
Business Address
MRS. SHELLY S. MISIR OTR/L
15048 87TH RD
JAMAICA, NY 11432-3312
Phone number: 917-776-0177
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Mailing Address
MRS. SHELLY S. MISIR OTR/L
15048 87TH RD
JAMAICA, NY 11432-3312
Phone number: 917-776-0177
Copy
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