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1760655880
JENNA MARIE RESTIVO
STATEN ISLAND, NY
NPI
1760655880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 018067-1)
Enumeration Date
2008-04-09
Last Update Date
2020-01-08
Business Address
Mrs. JENNA MARIE RESTIVO M.A.-SLP
28 MAYBURY CT
STATEN ISLAND, NY 10306-3613
Phone number: 718-554-4777
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Mailing Address
Mrs. JENNA MARIE RESTIVO M.A.-SLP
7 ROGERS PL
STATEN ISLAND, NY 10312-4119
Phone number: 917-881-2069
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