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1255704862
ENNIO COLON
NEW YORK, NY
NPI
1255704862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- ENNIO COLON
598 BROADWAY
NEW YORK, NY 10012-3351
Phone number: 212-966-9567
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Mailing Address
-- ENNIO COLON
598 BROADWAY
NEW YORK, NY 10012-3351
Phone number: 212-966-9567
Copy
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