MARTIN IRVING COLAVITO

PORT JERVIS, NY
NPI1487801650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  7929)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
-- MARTIN IRVING COLAVITO CASAC
17-19 SUSSEX STREET
PORT JERVIS, NY 12771-2430
Phone number: 845-856-6344
Mailing Address
-- MARTIN IRVING COLAVITO CASAC
17-19 SUSSEX STREET
PORT JERVIS, NY 12771-2430
Phone number: 845-856-6344
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