WILFREDO MALE CORREA

DEER PARK, NY
NPI1003665829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  CRPA-5781)
Enumeration Date2024-05-14
Last Update Date2024-05-14
Business Address
WILFREDO MALE CORREA CRPA
770 GRAND BLVD STE 17
DEER PARK, NY 11729-5725
Phone number: 631-392-4357
Mailing Address
WILFREDO MALE CORREA CRPA
220 FAIRVIEW CIR
MIDDLE ISLAND, NY 11953-2353
Phone number: 347-584-3565