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1972958189
DOMINIC GUIDA
SMITHTOWN, NY
NPI
1972958189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-26
Last Update Date
2016-04-26
Business Address
-- DOMINIC GUIDA
11 ROUTE 111
SMITHTOWN, NY 11787-3754
Phone number: 631-920-8300
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Mailing Address
-- DOMINIC GUIDA
69 N SIDE RD
WADING RIVER, NY 11792-1112
Phone number: 631-953-3099
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