LISA MARIE BASCIANO

STATEN ISLAND, NY
NPI1588900799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  663469)
Enumeration Date2012-12-14
Last Update Date2012-12-14
Business Address
-- LISA MARIE BASCIANO M.S.
4024 AMBOY RD
STATEN ISLAND, NY 10308-2409
Phone number: 718-984-9022
Mailing Address
-- LISA MARIE BASCIANO M.S.
31 RETFORD AVE
STATEN ISLAND, NY 10312-5010
Phone number:
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