TYRONE ANTHONY

FREEPORT, NY
NPI1710105945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  2498)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mr. TYRONE ANTHONY CASAC
110 EVANS AVE
FREEPORT, NY 11520-1435
Phone number: 516-546-4960
Mailing Address
Mr. TYRONE ANTHONY CASAC
110 EVANS AVE
FREEPORT, NY 11520-1435
Phone number: 516-546-4960
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