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1619399045
CARLOS RODRIGUEZ
COMMACK, NY
NPI
1619399045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26042)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- CARLOS RODRIGUEZ CASAC-T
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
-- CARLOS RODRIGUEZ CASAC-T
99 JAMAICA AVE
MEDFORD, NY 11763-3503
Phone number: 631-543-6200
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