KEANU ANTONIO NICASIO

BRONX, NY
NPI1275375867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-06-12
Last Update Date2024-06-12
Business Address
KEANU ANTONIO NICASIO MSW
2825 THIRD AVE
BRONX, NY 10455
Phone number: 718-520-8000
Mailing Address
KEANU ANTONIO NICASIO MSW
2115 WASHINGTON AVE
BRONX, NY 10457
Phone number:
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