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1457505547
KAVITA BASAVARAJU
GREENVALE, NY
NPI
1457505547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: NY 009982)
Enumeration Date
2008-11-17
Last Update Date
2008-11-17
Business Address
DR. KAVITA BASAVARAJU PH.D.
90 GLEN COVE RD
GREENVALE, NY 11548-1038
Phone number: 516-376-5150
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Mailing Address
DR. KAVITA BASAVARAJU PH.D.
378 ELM DR
ROSLYN, NY 11576-3013
Phone number: 516-376-5150
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