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1184280018
ERIC IGLESIAS
BRONX, NY
NPI
1184280018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 35172)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
Mr. ERIC IGLESIAS CASAC-T
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-583-5150
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Mailing Address
Mr. ERIC IGLESIAS CASAC-T
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-583-5150
Copy
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