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MARLA EBONIQUE CIRITA EMILSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS ED

Contact information

Practice address
629 E 82ND ST FL 2, BROOKLYN, NY 11236-3305
(718) 877-2100
Mailing address
629 E 82ND ST FL 2, BROOKLYN, NY 11236-3305
(718) 877-2100

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

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