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Individual

MELISSA SANABRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3705 79TH ST, JACKSON HEIGHTS, NY 11372-6715
(917) 480-6174
Mailing address
3705 79TH ST, JACKSON HEIGHTS, NY 11372-6715

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/07/2019
Last updated
06/07/2019
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