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1922543396
ETHAN EMERY
BRONX, NY
NPI
1922543396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 28915)
Enumeration Date
2016-12-21
Last Update Date
2016-12-21
Business Address
-- ETHAN EMERY
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number: 718-653-1117
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Mailing Address
-- ETHAN EMERY
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number: 718-653-1117
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