EVAN ROSS KANTOR

LAKE GROVE, NY
NPI1144738691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  877004039)
Enumeration Date2018-01-18
Last Update Date2022-11-29
Business Address
Mr. EVAN ROSS KANTOR
21 BEAUMONT LN
LAKE GROVE, NY 11755-2736
Phone number: 631-707-5462
Mailing Address
Mr. EVAN ROSS KANTOR
21 BEAUMONT LN
LAKE GROVE, NY 11755-2736
Phone number: 631-707-5462
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