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1366954117
VINCENZO S VAGLICA
JAMAICA, NY
NPI
1366954117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 22341)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
VINCENZO S VAGLICA CASAC
17515 ROCKAWAY BLVD
JAMAICA, NY 11434-5503
Phone number: 718-632-3275
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Mailing Address
VINCENZO S VAGLICA CASAC
175-15 ROCKAWAY BLVD
JAMAICA, NY 11434
Phone number: 718-632-3275
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