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1609138122
ELLEN DALE
STATEN ISLAND, NY
NPI
1609138122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 588976941)
Enumeration Date
2012-06-11
Last Update Date
2015-05-18
Business Address
Mrs. ELLEN DALE MS
2025 RICHMOND AVE
STATEN ISLAND, NY 10314-3937
Phone number: 718-447-0961
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Mailing Address
Mrs. ELLEN DALE MS
222 WARWICK AVE
STATEN ISLAND, NY 10314-4356
Phone number: 718-761-8525
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