ILDEFONSO ALFONSO OQUENDO

NEWBURGH, NY
NPI1639672751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  31597)
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
MR. ILDEFONSO ALFONSO OQUENDO CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-561-5783
Mailing Address
MR. ILDEFONSO ALFONSO OQUENDO CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-561-5783
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