Individual
ALIYA TOMASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 33RD ST STE 500, LONG ISLAND CITY, NY 11106-2329
(212) 529-9866
Mailing address
28 CORN TASSLE RD, DANBURY, CT 06811-3225
(518) 269-7976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
09/08/2021
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