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1902032501
GINA A MARTINEZ
REGO PARK, NY
NPI
1902032501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 071488-1)
Enumeration Date
2009-06-09
Last Update Date
2009-06-09
Business Address
Mrs. GINA A MARTINEZ LMSW
8911 63RD DR APT 124
REGO PARK, NY 11374-3852
Phone number: 917-807-8762
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Mailing Address
Mrs. GINA A MARTINEZ LMSW
8911 63RD DR APT 124
REGO PARK, NY 11374-3852
Phone number: 917-807-8762
Copy
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