Individual
ANDREA DOMINICA TAGLIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 HAMPTON RD, SOUTHAMPTON, NY 11968-5029
(631) 283-4440
Mailing address
291 HAMPTON RD, SOUTHAMPTON, NY 11968-5029
(631) 283-4440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17167
NY
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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