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1467900407
DENISE NILSEN
MASSAPEQUA, NY
NPI
1467900407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 871483)
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
Mrs. DENISE NILSEN
396 HARRISON AVE
MASSAPEQUA, NY 11758-6409
Phone number: 516-428-9656
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Mailing Address
Mrs. DENISE NILSEN
396 HARRISON AVE
MASSAPEQUA, NY 11758-6409
Phone number: 516-428-9656
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