JOHN M WATERMAN

PATCHOGUE, NY
NPI1891183216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25901)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
-- JOHN M WATERMAN CASAC
475 E MAIN ST SUITE 1
PATCHOGUE, NY 11772-3121
Phone number: 631-363-2001
Mailing Address
-- JOHN M WATERMAN CASAC
657 S COUNTRY RD
E PATCHOGUE, NY 11772-5550
Phone number: 631-371-2680
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