SIMON D MARSHALL

ELMHURST, NY
NPI1669657334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  020578)
Enumeration Date2007-12-31
Last Update Date2007-12-31
Business Address
MR. SIMON D MARSHALL CASAC
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3900
Mailing Address
MR. SIMON D MARSHALL CASAC
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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