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1710541008
JESSIC MIRIAM GREENE
AMITYVILLE, NY
NPI
1710541008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 57786)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
JESSIC MIRIAM GREENE CTRS
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5547
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Mailing Address
JESSIC MIRIAM GREENE CTRS
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5547
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