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1750978664
STEPHANIE DEFAZIO
ASTORIA, NY
NPI
1750978664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 025230)
Enumeration Date
2020-12-26
Last Update Date
2020-12-26
Business Address
STEPHANIE DEFAZIO OTR/L
2114 NEWTOWN AVE
ASTORIA, NY 11102-2935
Phone number: 718-545-0958
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Mailing Address
STEPHANIE DEFAZIO OTR/L
2114 NEWTOWN AVE
ASTORIA, NY 11102-2935
Phone number: 718-545-0958
Copy
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