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1407096936
SHOSHANA BRACHA GOLDWAG
PLAINVIEW, NY
NPI
1407096936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 0144861)
Enumeration Date
2009-02-24
Last Update Date
2009-02-24
Business Address
Ms. SHOSHANA BRACHA GOLDWAG OTR
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number: 516-576-2040
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Mailing Address
Ms. SHOSHANA BRACHA GOLDWAG OTR
261 BEDELL TER
WEST HEMPSTEAD, NY 11552-2444
Phone number: 516-538-8536
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