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1417219692
SHAZIA I BASIR QUDDUSI
REGO PARK, NY
NPI
1417219692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
Mrs. SHAZIA I BASIR QUDDUSI
9777 QUEENS BLVD PH
REGO PARK, NY 11374-3335
Phone number: 718-218-5439
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Mailing Address
Mrs. SHAZIA I BASIR QUDDUSI
15 PRIMROSE AVE
HICKSVILLE, NY 11801-1617
Phone number: 718-218-5439
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