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1134751514
ADOLFO SANTISIMA DIAZ-TORO
LONG ISLAND CITY, NY
NPI
1134751514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-04
Last Update Date
2021-08-06
Business Address
ADOLFO SANTISIMA DIAZ-TORO MA CMHC, CASAC T.
4404 QUEENS BLVD
LONG ISLAND CITY, NY 11104-2406
Phone number: 718-706-1663
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Mailing Address
ADOLFO SANTISIMA DIAZ-TORO MA CMHC, CASAC T.
4404 QUEENS BLVD
LONG ISLAND CITY, NY 11104-2406
Phone number: 718-706-1663
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