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1740870666
SERGIO OSVALDO YANES
HICKSVILLE, NY
NPI
1740870666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
SERGIO OSVALDO YANES
180 BROADWAY UNIT 2
HICKSVILLE, NY 11801-4230
Phone number: 516-935-6858
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Mailing Address
SERGIO OSVALDO YANES
180 BROADWAY UNIT 2
HICKSVILLE, NY 11801-4230
Phone number: 516-935-6858
Copy
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