DERRICK COBB

WESTHAMPTON BEACH, NY
NPI1205259892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: NY  26043)
Enumeration Date2014-02-02
Last Update Date2014-02-02
Business Address
Mr. DERRICK COBB casac
7 SEAFIELD LN
WESTHAMPTON BEACH, NY 11978-2714
Phone number: 631-205-8044
Mailing Address
Mr. DERRICK COBB casac
PO BOX 523
MASTIC, NY 11950-0523
Phone number: 631-205-8044
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