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1487026043
PATRICK ROSA
JAMAICA, NY
NPI
1487026043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25295)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
Mr. PATRICK ROSA CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
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Mailing Address
Mr. PATRICK ROSA CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
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