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1518346139
SALVATORE COSTANZA
COMMACK, NY
NPI
1518346139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25265)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- SALVATORE COSTANZA
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
-- SALVATORE COSTANZA
4 HINDES CT
SMITHTOWN, NY 11787-2508
Phone number: 631-366-3292
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