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Individual
RENA SOLTAN
Active
Individual
RENA SOLTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
219739081
NY
174400000X
Specialist
265880081
NY
252Y00000X
Early Intervention Provider Agency
443018101
NY
252Y00000X
Early Intervention Provider Agency
443019101
NY
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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