FRED ESANBORMEN EIREBAMEN

AMITYVILLE, NY
NPI1427633254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  082473)
Enumeration Date2021-03-12
Last Update Date2021-03-12
Business Address
FRED ESANBORMEN EIREBAMEN
26 AUTUMN LN
AMITYVILLE, NY 11701-1614
Phone number: 631-418-6313
Mailing Address
FRED ESANBORMEN EIREBAMEN
26 AUTUMN LN
AMITYVILLE, NY 11701-1614
Phone number: 631-418-6313
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