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1265008700
BRUCE GARY NASH
PATCHOGUE, NY
NPI
1265008700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 33103)
Enumeration Date
2021-06-03
Last Update Date
2021-06-03
Business Address
DR. BRUCE GARY NASH CASAC
475 E MAIN ST
PATCHOGUE, NY 11772-3121
Phone number: 631-369-7800
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Mailing Address
DR. BRUCE GARY NASH CASAC
475 E MAIN ST
PATCHOGUE, NY 11772-3121
Phone number: 631-363-2001
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