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1861665929
ATANASIO GAETANO FAVA
NEW YORK, NY
NPI
1861665929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 018715)
Enumeration Date
2008-04-10
Last Update Date
2012-10-19
Business Address
Mr. ATANASIO GAETANO FAVA M.S., CCC-SLP
622 W 168TH ST VC 10 AREA D
NEW YORK, NY 10032-3720
Phone number: 212-342-1627
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Mailing Address
Mr. ATANASIO GAETANO FAVA M.S., CCC-SLP
622 W 168TH ST VC 10, RM 1001
NEW YORK, NY 10032-3720
Phone number: 212-342-1627
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