WALLACE ROMERO

REGO PARK, NY
NPI1659548170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  8126)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
-- WALLACE ROMERO CASAC
9729 64TH RD
REGO PARK, NY 11374-2240
Phone number: 718-896-3400
Mailing Address
-- WALLACE ROMERO CASAC
7811 88TH AVE
WOODHAVEN, NY 11421-1825
Phone number:
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