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1649964834
SURGEIN I FONOLLOSA
NEW YORK, NY
NPI
1649964834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 119742)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
SURGEIN I FONOLLOSA LMSW
290 LENOX AVE FL 3
NEW YORK, NY 10027-4991
Phone number: 212-663-3000
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Mailing Address
SURGEIN I FONOLLOSA LMSW
2444 SEYMOUR AVE # 1
BRONX, NY 10469-5722
Phone number: 347-571-7672
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