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1598351017
BABU PUNNAN THACHARA
NEW HYDE PARK, NY
NPI
1598351017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 004696-1)
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
BABU PUNNAN THACHARA
1979 MARCUS AVE STE 204
NEW HYDE PARK, NY 11042-1002
Phone number: 516-327-4681
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Mailing Address
BABU PUNNAN THACHARA
1979 MARCUS AVE STE 204
NEW HYDE PARK, NY 11042-1002
Phone number: 516-327-4681
Copy
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