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1174698286
PETER ANTHONY MARTINEZ
BRONX, NY
NPI
1174698286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 12393)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Miss PETER ANTHONY MARTINEZ CASAC
1241 LAFAYETTE AVE
BRONX, NY 10474-5336
Phone number: 718-378-6500
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Mailing Address
Miss PETER ANTHONY MARTINEZ CASAC
781 E 142ND ST
BRONX, NY 10454-1723
Phone number: 718-993-1400
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