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1588900799
LISA MARIE BASCIANO
STATEN ISLAND, NY
NPI
1588900799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 663469)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
-- LISA MARIE BASCIANO M.S.
4024 AMBOY RD
STATEN ISLAND, NY 10308-2409
Phone number: 718-984-9022
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Mailing Address
-- LISA MARIE BASCIANO M.S.
31 RETFORD AVE
STATEN ISLAND, NY 10312-5010
Phone number:
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