DAVID LEE CORNISH

BRONX, NY
NPI1972040947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  6314, 691)
Enumeration Date2017-01-27
Last Update Date2017-01-27
Business Address
-- DAVID LEE CORNISH CASAC, CPP
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 717-583-5100
Mailing Address
-- DAVID LEE CORNISH CASAC, CPP
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 717-583-5100
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