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1245795814
ANTHONY MONGELLI
STATEN ISLAND, NY
NPI
1245795814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
Mr. ANTHONY MONGELLI
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 917-200-5749
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Mailing Address
Mr. ANTHONY MONGELLI
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 917-200-5749
Copy
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