JOHN WALKER

COMMACK, NY
NPI1114047545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  12833)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
-- JOHN WALKER ASAC
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
Mailing Address
-- JOHN WALKER ASAC
33 E BEECH ST
CENTRAL ISLIP, NY 11722-3140
Phone number: 631-543-6200