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1649938580
CHIARA LISETTE DERISO
EAST NORTHPORT, NY
NPI
1649938580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048256)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
CHIARA LISETTE DERISO PT, DPT
3072 JERICHO TPKE
EAST NORTHPORT, NY 11731-6214
Phone number: 631-462-9595
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Mailing Address
CHIARA LISETTE DERISO PT, DPT
3072 JERICHO TPKE
EAST NORTHPORT, NY 11731-6214
Phone number: 631-462-9595
Copy
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