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1720372857
DEREK ELLIS
NEW YORK, NY
NPI
1720372857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
Mr. DEREK ELLIS
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
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Mailing Address
Mr. DEREK ELLIS
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
Copy
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