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1447493176
ANISIO DEOLIVEIRA
BAYSIDE, NY
NPI
1447493176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 017335)
Enumeration Date
2009-04-10
Last Update Date
2009-04-10
Business Address
-- ANISIO DEOLIVEIRA CCC-SLP
2901 216TH ST
BAYSIDE, NY 11360-2810
Phone number: 718-281-8800
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Mailing Address
-- ANISIO DEOLIVEIRA CCC-SLP
78 MAGAZINE ST AP#2
NEWARK, NJ 07105-3476
Phone number: 917-770-3674
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