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1497151088
MARIO CASANOVA
SMITHTOWN, NY
NPI
1497151088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
-- MARIO CASANOVA MA
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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Mailing Address
-- MARIO CASANOVA MA
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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