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1801061460
DERICK A. BURWELL
BRONX, NY
NPI
1801061460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 41104)
Enumeration Date
2008-04-24
Last Update Date
2008-04-24
Business Address
Mr. DERICK A. BURWELL C.R.C.
1241 LAFAYETTE AVE
BRONX, NY 10474-5336
Phone number: 718-378-6500
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Mailing Address
Mr. DERICK A. BURWELL C.R.C.
781 E 142ND ST
BRONX, NY 10454-1723
Phone number: 718-993-1400
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