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1659764785
IDA KORAITEM
NEW YORK, NY
NPI
1659764785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 019469)
Enumeration Date
2015-03-13
Last Update Date
2015-03-13
Business Address
-- IDA KORAITEM
675 3RD AVE
NEW YORK, NY 10017-5704
Phone number: 212-204-5109
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Mailing Address
-- IDA KORAITEM
118 PATRICK AVE
EMERSON, NJ 07630-1461
Phone number:
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