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1780274464
KRISTIE NOWAK
PLAINVIEW, NY
NPI
1780274464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
KRISTIE NOWAK masters degree
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number: 516-576-2040
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Mailing Address
KRISTIE NOWAK masters degree
6 FAIRFAX DR
FARMINGVILLE, NY 11738-2210
Phone number: 516-429-0483
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