EDWARD R. HERNANDEZ

RIDGEWOOD, NY
NPI1275818007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-10-12
Last Update Date2011-10-12
Business Address
Mr. EDWARD R. HERNANDEZ CASAC
2016 HIMROD ST
RIDGEWOOD, NY 11385-1233
Phone number: 718-501-2672
Mailing Address
Mr. EDWARD R. HERNANDEZ CASAC
2016 HIMROD ST
RIDGEWOOD, NY 11385-1233
Phone number: 718-501-2672
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