DOMINICK MATARRESE

STATEN ISLAND, NY
NPI1104210160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
-- DOMINICK MATARRESE
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170
Mailing Address
-- DOMINICK MATARRESE
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170
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