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1508152877
LEISSET COSTANZO
RICHMOND HILL, NY
NPI
1508152877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 019538)
Enumeration Date
2011-06-24
Last Update Date
2017-01-20
Business Address
Ms. LEISSET COSTANZO MA CCC SLP
8602 127TH ST
RICHMOND HILL, NY 11418-2629
Phone number: 718-849-0962
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Mailing Address
Ms. LEISSET COSTANZO MA CCC SLP
8602 127TH ST
RICHMOND HILL, NY 11418-2629
Phone number: 718-849-0962
Copy
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