BERNARD PENO

JAMAICA, NY
NPI1063639748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  11238)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
Mr. BERNARD PENO CASAC
9101 MERRICK BLVD
JAMAICA, NY 11432
Phone number: 718-523-4242
Mailing Address
Mr. BERNARD PENO CASAC
3564 84TH ST
JACKSON HEIGHTS, NY 11372-5374
Phone number: 718-446-2010