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1992012900
RENEE DENISE ELLIS
STATEN ISLAND, NY
NPI
1992012900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 018040-1)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
Mrs. RENEE DENISE ELLIS
120 RATHBUN AVE
STATEN ISLAND, NY 10312-3006
Phone number: 718-948-8879
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Mailing Address
Mrs. RENEE DENISE ELLIS
120 RATHBUN AVE
STATEN ISLAND, NY 10312-3006
Phone number: 718-948-8879
Copy
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