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1801157631
ROSE PANICCIOLI
STATEN ISLAND, NY
NPI
1801157631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- ROSE PANICCIOLI
314 JEFFERSON AVE
STATEN ISLAND, NY 10306-5223
Phone number: 917-439-6418
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Mailing Address
-- ROSE PANICCIOLI
314 JEFFERSON AVE
STATEN ISLAND, NY 10306-5223
Phone number: 917-439-6418
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