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Individual

DANA PATRICIA GIALLORENZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.E.D

Contact information

Practice address
113 BRAISTED AVE, STATEN ISLAND, NY 10314-6172
(347) 461-5607
Mailing address
113 BRAISTED AVE, STATEN ISLAND, NY 10314-6172
(347) 461-5607

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1413754
NY

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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