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1134770613
MYRON PRIESTER
STATEN ISLAND, NY
NPI
1134770613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 35064)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
MYRON PRIESTER CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-1031
Phone number: 718-816-6589
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Mailing Address
MYRON PRIESTER CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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