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1942724141
JULISSA ACEVEDO
FOREST HILLS, NY
NPI
1942724141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
JULISSA ACEVEDO
7000 AUSTIN ST STE 200
FOREST HILLS, NY 11375-4739
Phone number: 917-806-5805
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Mailing Address
JULISSA ACEVEDO
40 LUNN AVE
BERGENFIELD, NJ 07621-2539
Phone number: 917-445-0074
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