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1982262994
BERIZA MILAGROS LUCIANO
JAMAICA, NY
NPI
1982262994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19979)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
BERIZA MILAGROS LUCIANO Advanced CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
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Mailing Address
BERIZA MILAGROS LUCIANO Advanced CASAC
5921 CALLOWAY ST APT 5L
CORONA, NY 11368-3839
Phone number: 917-749-1917
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