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1649043571
LAUREN EVANGELISTA
GREAT NECK, NY
NPI
1649043571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 028461)
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
LAUREN EVANGELISTA
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
LAUREN EVANGELISTA
172 WELLINGTON RD
GARDEN CITY, NY 11530-1218
Phone number:
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