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1285782615
PETER G DEPASQUALE
PORT JEFFERSON, NY
NPI
1285782615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 29895)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Dr. PETER G DEPASQUALE PhD MSW
646 MAIN STREET
PORT JEFFERSON, NY 11777
Phone number: 631-689-8180
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Mailing Address
Dr. PETER G DEPASQUALE PhD MSW
27 BREWSTER HILL ROAD
SETAUKET, NY 11733
Phone number: 631-689-8180
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