MANUEL I ULLOA

NEW YORK, NY
NPI1720206634
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  12905)
Enumeration Date2007-04-23
Last Update Date2007-11-05
Business Address
Mr. MANUEL I ULLOA CASAC
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
Mailing Address
Mr. MANUEL I ULLOA CASAC
73 HARRIS AVE
HEWLETT, NY 11557-1309
Phone number: 516-569-8490
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