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1891030136
ANDREW BLACKSTEIN
NEW CITY, NY
NPI
1891030136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
-- ANDREW BLACKSTEIN CASAC-T
12 THORNWOOD DR
NEW CITY, NY 10956-3412
Phone number: 845-721-0089
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Mailing Address
-- ANDREW BLACKSTEIN CASAC-T
12 THORNWOOD DR
NEW CITY, NY 10956-3412
Phone number: 845-721-0089
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