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1851566681
ROSS PHILLIP GOLDMAN
BRONX, NY
NPI
1851566681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 13229)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
Mr. ROSS PHILLIP GOLDMAN CASAC
5676 RIVERDALE AVE 202
BRONX, NY 10471-2138
Phone number: 718-796-5300
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Mailing Address
Mr. ROSS PHILLIP GOLDMAN CASAC
5676 RIVERDALE AVE 202
BRONX, NY 10471-2138
Phone number: 718-796-5300
Copy
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