MARIO CASANOVA

SMITHTOWN, NY
NPI1497151088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-11-10
Last Update Date2014-11-10
Business Address
-- MARIO CASANOVA MA
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
Mailing Address
-- MARIO CASANOVA MA
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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