CARLOS RODRIGUEZ

COMMACK, NY
NPI1619399045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  26042)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
CARLOS RODRIGUEZ CASAC-T
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
Mailing Address
CARLOS RODRIGUEZ CASAC-T
99 JAMAICA AVE
MEDFORD, NY 11763-3503
Phone number: 631-543-6200
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