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1831489111
MILDRED JEAN BUCCAFUSCO
BROOKLYN, NY
NPI
1831489111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 001-5161)
Enumeration Date
2011-04-08
Last Update Date
2011-04-08
Business Address
Ms. MILDRED JEAN BUCCAFUSCO P.T.A.
420 95TH ST
BROOKLYN, NY 11209-7404
Phone number: 718-680-9751
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Mailing Address
Ms. MILDRED JEAN BUCCAFUSCO P.T.A.
4050 NOSTRAND AVE APT. 2C
BROOKLYN, NY 11235-2250
Phone number: 718-496-8051
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