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1174387989
CHRISTIANO MARCEL MARCELLO
FAR ROCKAWAY, NY
NPI
1174387989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY 0195)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
CHRISTIANO MARCEL MARCELLO Peer Specialist
718 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3502
Phone number: 646-732-8105
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Mailing Address
CHRISTIANO MARCEL MARCELLO Peer Specialist
8 COUNTISBURY AVE
VALLEY STREAM, NY 11580-1748
Phone number: 646-732-8105
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