LUIS M MONTERO

CORONA, NY
NPI1437410404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  26779)
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
-- LUIS M MONTERO
10720 NORTHERN BLVD
CORONA, NY 11368-1236
Phone number: 718-651-0096
Mailing Address
-- LUIS M MONTERO
10720 NORTHERN BLVD
CORONA, NY 11368-1236
Phone number: 718-651-0096