BRIAN CUNNINGHAM

BAY SHORE, NY
NPI1942742952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: NY  31718)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
-- BRIAN CUNNINGHAM CASAC-T
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-3113
Mailing Address
-- BRIAN CUNNINGHAM CASAC-T
76 CHURCH AVE
ISLIP, NY 11751-3902
Phone number: 631-449-0892
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