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1114296076
ROBERT CRISALLI
STATEN ISLAND, NY
NPI
1114296076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 10400)
Enumeration Date
2011-12-22
Last Update Date
2011-12-22
Business Address
Mr. ROBERT CRISALLI CASAC
285 VANDERBILT AVE
STATEN ISLAND, NY 10304-2525
Phone number: 718-981-4382
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Mailing Address
Mr. ROBERT CRISALLI CASAC
285 VANDERBILT AVE
STATEN ISLAND, NY 10304-2525
Phone number: 718-981-4382
Copy
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