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1821352279
SUSANNE MARIE FABIANO
STATEN ISLAND, NY
NPI
1821352279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 005947001)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
Mrs. SUSANNE MARIE FABIANO
142 NIPPON AVE
STATEN ISLAND, NY 10312-2734
Phone number: 718-967-7739
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Mailing Address
Mrs. SUSANNE MARIE FABIANO
142 NIPPON AVE
STATEN ISLAND, NY 10312-2734
Phone number: 718-967-7739
Copy
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