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1912756990
ANTHONY ROSA
BRONX, NY
NPI
1912756990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 37919)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
ANTHONY ROSA
950 EVERGREEN AVE APT 2D
BRONX, NY 10473-4534
Phone number: 917-660-3416
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Mailing Address
ANTHONY ROSA
950 EVERGREEN AVE APT 2D
BRONX, NY 10473-4534
Phone number: 917-660-3416
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