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1992231435
CARISSA LYNN AGNELLO
MELVILLE, NY
NPI
1992231435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 851929141)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
Ms. CARISSA LYNN AGNELLO
583 BROADHOLLOW RD SUITE 202
MELVILLE, NY 11747-5017
Phone number: 631-484-8920
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Mailing Address
Ms. CARISSA LYNN AGNELLO
16 LARCH ST
LAKE RONKONKOMA, NY 11779-4460
Phone number: 631-484-8920
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