ANTHONY DAVIS

MONTICELLO, NY
NPI1063732014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-06-01
Last Update Date2010-06-01
Business Address
Mr. ANTHONY DAVIS
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number: 845-794-8080
Mailing Address
Mr. ANTHONY DAVIS
100 HARMONY LN
MONTICELLO, NY 12701-7433
Phone number: 845-798-0894