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1518229814
KIMBERLY COSTA
STATEN ISLAND, NY
NPI
1518229814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 871641)
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
Miss KIMBERLY COSTA
1000 SOUTH AVE # 2
STATEN ISLAND, NY 10314-3409
Phone number: 718-477-0961
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Mailing Address
Miss KIMBERLY COSTA
175 VOGEL AVE APT 2
STATEN ISLAND, NY 10309-3030
Phone number: 908-623-7500
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