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1821642521
KRISTYN BLAKE DICOSTANZO
STATEN ISLAND, NY
NPI
1821642521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-07-31
Last Update Date
2020-08-10
Business Address
Ms. KRISTYN BLAKE DICOSTANZO
33 FERNDALE AVE
STATEN ISLAND, NY 10314-4843
Phone number: 718-698-5757
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Mailing Address
Ms. KRISTYN BLAKE DICOSTANZO
33 FERNDALE AVE
STATEN ISLAND, NY 10314-4843
Phone number: 718-698-5757
Copy
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