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1134771462
DANIEL A AMBROSE
COMMACK, NY
NPI
1134771462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 35522)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
DANIEL A AMBROSE
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
DANIEL A AMBROSE
90 CHERRY LANE
HICKSVILLE, NY 11801
Phone number: 516-733-7000
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