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1477910453
TIFFANY GONSALVES
BROOKLYN, NY
NPI
1477910453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 1001236151)
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- TIFFANY GONSALVES Ms.Ed
603 E 83RD ST
BROOKLYN, NY 11236-3435
Phone number: 212-300-5001
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Mailing Address
-- TIFFANY GONSALVES Ms.Ed
603 E 83RD ST
BROOKLYN, NY 11236-3435
Phone number: 212-300-5001
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