ROY VIVIAN TELLIS

BROOKLYN, NY
NPI1205140035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  16918)
Enumeration Date2010-08-04
Last Update Date2010-08-04
Business Address
-- ROY VIVIAN TELLIS CASAC
255 AVENUE W
BROOKLYN, NY 11223-5202
Phone number: 866-569-7233
Mailing Address
-- ROY VIVIAN TELLIS CASAC
PO BOX 230060
BROOKLYN, NY 11223-0060
Phone number: 866-569-7233
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