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1144081340
ROBERT BARRY
WOODSIDE, NY
NPI
1144081340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31639)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
ROBERT BARRY CASAC 31639
4818 43RD ST
WOODSIDE, NY 11377-6845
Phone number: 646-464-5170
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Mailing Address
ROBERT BARRY CASAC 31639
4818 43RD ST
WOODSIDE, NY 11377-6845
Phone number: 646-464-5170
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