MARK DIBERNARDO

LATHAM, NY
NPI1306062203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- MARK DIBERNARDO
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 518-783-5381
Mailing Address
-- MARK DIBERNARDO
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 518-783-5381
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