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1639429723
BASILISO MORENO
ELMHURST, NY
NPI
1639429723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-09-15
Last Update Date
2012-09-15
Business Address
-- BASILISO MORENO MSW
9131 QUEENS BLVD STE 618
ELMHURST, NY 11373-5543
Phone number: 718-275-0983
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Mailing Address
-- BASILISO MORENO MSW
39 CAMBRIDGE TER APT B
HACKENSACK, NJ 07601-7202
Phone number: 201-467-9524
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