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1336671601
JOHNNY VELASQUEZ
STATEN ISLAND, NY
NPI
1336671601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- JOHNNY VELASQUEZ Counselor
273 HEBERTON AVE
STATEN ISLAND, NY 10302
Phone number: 718-412-3170
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Mailing Address
-- JOHNNY VELASQUEZ Counselor
273 HEBERTON AVE
STATEN ISLAND, NY 10302
Phone number: 718-412-3170
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