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1699037168
MARY RICCOBONO
STATEN ISLAND, NY
NPI
1699037168
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Former Name
MARY MACO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 491160111)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Mrs. MARY RICCOBONO
329 NORWAY AVE
STATEN ISLAND, NY 10305-3524
Phone number: 718-987-9400
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Mailing Address
Mrs. MARY RICCOBONO
329 NORWAY AVE
STATEN ISLAND, NY 10305-3524
Phone number: 917-987-9400
Copy
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