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1407148919
MICHAEL DIFORTI
BAY SHORE, NY
NPI
1407148919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 006029-1)
Enumeration Date
2011-05-03
Last Update Date
2015-04-27
Business Address
Mr. MICHAEL DIFORTI LMHC
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-3100
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Mailing Address
Mr. MICHAEL DIFORTI LMHC
75 ARGONNE RD E
HAMPTON BAYS, NY 11946-1717
Phone number:
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