DEREK DELOS SANTOS

BRONX, NY
NPI1376304261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  38783)
Enumeration Date2024-01-18
Last Update Date2024-01-18
Business Address
DEREK DELOS SANTOS CASAC T
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-583-5150
Mailing Address
DEREK DELOS SANTOS CASAC T
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-583-5150
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