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1801096524
MARYAM WISEMAN
GREAT NECK, NY
NPI
1801096524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 0158541)
Enumeration Date
2007-07-20
Last Update Date
2012-08-27
Business Address
Mrs. MARYAM WISEMAN P.T.
21 CARY RD
GREAT NECK, NY 11021-1517
Phone number: 516-946-8333
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Mailing Address
Mrs. MARYAM WISEMAN P.T.
21 CARY RD
GREAT NECK, NY 11021-1517
Phone number: 516-946-8333
Copy
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