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1477050334
JOSE ANTONIO DESIDERIO
STATEN ISLAND, NY
NPI
1477050334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 010079-01)
Enumeration Date
2018-04-09
Last Update Date
2023-02-17
Business Address
JOSE ANTONIO DESIDERIO LMHC
3285B RICHMOND AVE STE 200
STATEN ISLAND, NY 10312-2123
Phone number: 347-671-7038
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Mailing Address
JOSE ANTONIO DESIDERIO LMHC
3285B RICHMOND AVE STE 200
STATEN ISLAND, NY 10312-2123
Phone number: 347-671-7038
Copy
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