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1831632439
DIANA NISANOV
SPRINGFIELD GARDENS, NY
NPI
1831632439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 024802)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- DIANA NISANOV
14500 SPRINGFIELD BLVD
SPRINGFIELD GARDENS, NY 11413-3455
Phone number: 718-977-6180
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Mailing Address
-- DIANA NISANOV
14500 SPRINGFIELD BLVD
SPRINGFIELD GARDENS, NY 11413-3455
Phone number:
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