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1891031217
ANDREA BAST
KEW GARDENS, NY
NPI
1891031217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 5765891)
Enumeration Date
2012-12-13
Last Update Date
2012-12-13
Business Address
-- ANDREA BAST RN
8002 KEW GARDENS RD SUITE 704
KEW GARDENS, NY 11415-3600
Phone number: 718-520-1513
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Mailing Address
-- ANDREA BAST RN
PO BOX 417147
BOSTON, MA 02241-7147
Phone number: 518-952-8140
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