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1760754204
HABEEBA A KASIMALI JACKSI
EAST MEADOW, NY
NPI
1760754204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016392-1)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
Ms. HABEEBA A KASIMALI JACKSI
1812 PARK AVE
EAST MEADOW, NY 11554-4007
Phone number: 516-794-6923
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Mailing Address
Ms. HABEEBA A KASIMALI JACKSI
1812 PARK AVE
EAST MEADOW, NY 11554-4007
Phone number: 516-794-6923
Copy
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