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1508200148
NIA MODESTE
NEW YORK, NY
NPI
1508200148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 713104131)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Ms. NIA MODESTE B.S., M.S.
2003 FIFTH AVE LL
NEW YORK, NY 10035
Phone number: 646-523-5481
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Mailing Address
Ms. NIA MODESTE B.S., M.S.
2003 FIFTH AVE LL
NEW YORK, NY 10035
Phone number: 646-523-5481
Copy
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