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1891336525
LISA MARIE AVITABILE
BRONX, NY
NPI
1891336525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
LISA MARIE AVITABILE
100 W MOSHOLU PKWY S
BRONX, NY 10468
Phone number: 718-581-2026
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Mailing Address
LISA MARIE AVITABILE
100 W MOSHOLU PKWY S
BRONX, NY 10468-1001
Phone number: 718-581-2026
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