CARLOS A. BUITRAGO

PORT WASHINGTON, NY
NPI1386931632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  CASAC-18793)
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
-- CARLOS A. BUITRAGO CASAC
225 MAIN STREET
PORT WASHINGTON, NY 11050
Phone number: 516-767-1133
Mailing Address
-- CARLOS A. BUITRAGO CASAC
225 MAIN STREET
PORT WASHINGTON, NY 11050
Phone number: 516-767-1133