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1689770091
DANIEL CHARLES COSTELLO
COMMACK, NY
NPI
1689770091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 0716949)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- DANIEL CHARLES COSTELLO L.C.S.W.,C.A.S.A.C
37 PARKWAY DR N
COMMACK, NY 11725-5108
Phone number: 631-261-4400
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Mailing Address
-- DANIEL CHARLES COSTELLO L.C.S.W.,C.A.S.A.C
37 PARKWAY DR N
COMMACK, NY 11725-5108
Phone number: 631-261-4400
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