TIMOTHY PAGE

MINEOLA, NY
NPI1215352232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25552)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
-- TIMOTHY PAGE CASAC
110 MAIN ST
MINEOLA, NY 11501-4000
Phone number: 516-747-5644
Mailing Address
-- TIMOTHY PAGE CASAC
110 MAIN ST
MINEOLA, NY 11501-4000
Phone number: 516-747-5644
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