DANIEL A AMBROSE

COMMACK, NY
NPI1134771462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  35522)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
DANIEL A AMBROSE
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
Mailing Address
DANIEL A AMBROSE
90 CHERRY LANE
HICKSVILLE, NY 11801
Phone number: 516-733-7000