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1104394063
PAUL PLUST
STATEN ISLAND, NY
NPI
1104394063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 13331)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
Mr. PAUL PLUST CASAC II
460 BRIELLE AVE BLDG H
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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Mailing Address
Mr. PAUL PLUST CASAC II
460 BRIELLE AVE BLDG H
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Copy
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