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1255859096
KENNETH PFEIFFER
BRONX, NY
NPI
1255859096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18708)
Enumeration Date
2017-08-31
Last Update Date
2024-09-27
Business Address
KENNETH PFEIFFER CASAC
830 FOREST AVE RM 139
BRONX, NY 10456-7802
Phone number: 718-742-5684
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Mailing Address
KENNETH PFEIFFER CASAC
198 BEACH 102ND ST APT 1E
ROCKAWAY PARK, NY 11694-2853
Phone number: 347-205-1780
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