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1477147544
LISSETTE BORY
STATEN ISLAND, NY
NPI
1477147544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
LISSETTE BORY
1110 SOUTH AVE
STATEN ISLAND, NY 10314-3403
Phone number: 866-707-8669
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Mailing Address
LISSETTE BORY
918 FOREST AVE
STATEN ISLAND, NY 10310-2413
Phone number: 917-805-6610
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