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1871136424
ANTONIO JOSE ACOSTA
NEW YORK, NY
NPI
1871136424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 30899)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
Mr. ANTONIO JOSE ACOSTA CASAC
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
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Mailing Address
Mr. ANTONIO JOSE ACOSTA CASAC
124 W 134TH ST APT 2B
NEW YORK, NY 10030-3148
Phone number: 212-736-5900
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