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1790440584
PETER FRANK FATA
SPRING VALLEY, NY
NPI
1790440584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 082997)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
PETER FRANK FATA
314 OLD NYACK TPKE
SPRING VALLEY, NY 10977-5842
Phone number: 845-548-6617
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Mailing Address
PETER FRANK FATA
314 OLD NYACK TPKE
SPRING VALLEY, NY 10977-5842
Phone number: 845-548-6617
Copy
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