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1568909828
LUIS DIAZ
BRONX, NY
NPI
1568909828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17345)
Enumeration Date
2017-01-25
Last Update Date
2017-01-26
Business Address
-- LUIS DIAZ casac
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8327
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Mailing Address
-- LUIS DIAZ casac
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number:
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