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1063639748
BERNARD PENO
JAMAICA, NY
NPI
1063639748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11238)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. BERNARD PENO CASAC
9101 MERRICK BLVD
JAMAICA, NY 11432
Phone number: 718-523-4242
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Mailing Address
Mr. BERNARD PENO CASAC
3564 84TH ST
JACKSON HEIGHTS, NY 11372-5374
Phone number: 718-446-2010
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