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1912636143
JASON PISANO
STATEN ISLAND, NY
NPI
1912636143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-06-04
Last Update Date
2022-06-04
Business Address
JASON PISANO CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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Mailing Address
JASON PISANO CASAC-T
263 WELLBROOK AVE
STATEN ISLAND, NY 10314-6926
Phone number: 347-965-2167
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