CONRADO DE LA GARZA

BELLPORT, NY
NPI1477707289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  22725)
Enumeration Date2008-11-06
Last Update Date2008-11-06
Business Address
-- CONRADO DE LA GARZA
11 FARBER DR UNIT D
BELLPORT, NY 11713-1500
Phone number: 631-286-0700
Mailing Address
-- CONRADO DE LA GARZA
11 FARBER DR UNIT D
BELLPORT, NY 11713-1500
Phone number:
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