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1922361674
MICHELLE ANN BASTIAO
PLAINVIEW, NY
NPI
1922361674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 557301111)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
Ms. MICHELLE ANN BASTIAO MSED
2 W LANE DR
PLAINVIEW, NY 11803-5423
Phone number: 516-931-3447
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Mailing Address
Ms. MICHELLE ANN BASTIAO MSED
2 W LANE DR
PLAINVIEW, NY 11803-5423
Phone number: 516-931-3447
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