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1487062287
ANTHONY FRANCIS FERNANDES
BRONX, NY
NPI
1487062287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17709)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- ANTHONY FRANCIS FERNANDES
545 E 142ND ST
BRONX, NY 10454-2110
Phone number: 718-579-4004
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Mailing Address
-- ANTHONY FRANCIS FERNANDES
545 E 142ND ST
BRONX, NY 10454-2110
Phone number: 718-579-4004
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