EDWARD DAVIS

STATEN ISLAND, NY
NPI1134497738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18352)
Enumeration Date2011-12-09
Last Update Date2014-11-14
Business Address
-- EDWARD DAVIS CASAC
285 VANDERBILT AVE
STATEN ISLAND, NY 10304-2525
Phone number: 718-981-4382
Mailing Address
-- EDWARD DAVIS CASAC
285 VANDERBILT AVE
STATEN ISLAND, NY 10304-2525
Phone number: 718-981-4382
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