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Individual

NIOMI LEE RUIZ-JAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 ROUTE 17M, GOSHEN, NY 10924-5241
(845) 458-8661
Mailing address
42 MIRIAM DR, WARWICK, NY 10990-3516
(347) 284-8925

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/07/2025
Last updated
02/07/2025
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