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1568678829
MICHAEL RIOS
SMITHTOWN, NY
NPI
1568678829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 13146-t)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- MICHAEL RIOS Casac-t
11 ROUTE 111
SMITHTOWN, NY 11787-3712
Phone number: 631-920-8300
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Mailing Address
-- MICHAEL RIOS Casac-t
57 NEVADA RD
WEST BABYLON, NY 11704-2537
Phone number: 631-553-2892
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