MICHAEL MARTIN MATIAS

BRONX, NY
NPI1730327800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  8116)
Enumeration Date2009-01-28
Last Update Date2009-01-28
Business Address
Mr. MICHAEL MARTIN MATIAS casac 8616
211 BROWN PL
BRONX, NY 10454-4109
Phone number: 917-567-5007
Mailing Address
Mr. MICHAEL MARTIN MATIAS casac 8616
211 BROWN PL
BRONX, NY 10454-4109
Phone number: 917-567-5007
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