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Individual
JOSE ANTONIO DESIDERIO
Active
Individual
JOSE ANTONIO DESIDERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010079-01
NY
Other
Enumeration date
04/09/2018
Last updated
02/17/2023
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