DAVID JUAN

BELLPORT, NY
NPI1497975759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18907)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
-- DAVID JUAN
11 FARBER DRIVE UNIT D
BELLPORT, NY 11713
Phone number: 631-286-0700
Mailing Address
-- DAVID JUAN
11 FARBER DRIVE UNIT D
BELLPORT, NY 11713
Phone number:
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