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1184165755
JERRY ROSS
NEW YORK, NY
NPI
1184165755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-16
Last Update Date
2024-05-03
Business Address
JERRY ROSS CASAC 2
2015 MADISON AVE
NEW YORK, NY 10035-1015
Phone number: 212-690-4625
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Mailing Address
JERRY ROSS CASAC 2
2015 MADISON AVE
NEW YORK, NY 10035-1015
Phone number: 212-690-4625
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