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1689161820
ILANIT RAFAELOV
FRESH MEADOWS, NY
NPI
1689161820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 1218608181)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
ILANIT RAFAELOV
50-28 UTOPIA PKWY
FRESH MEADOWS, NY 11365-1136
Phone number: 917-214-5244
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Mailing Address
ILANIT RAFAELOV
50-28 UTOPIA PKWY
FRESH MEADOWS, NY 11365
Phone number: 917-214-5244
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