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Individual

MR. JARED J DOWD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
281 PHELPS LN, NORTH BABYLON, NY 11703-4045
(631) 422-7676
Mailing address
928 N INDIANA AVE, LINDENHURST, NY 11757-2131
(631) 482-0995

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0284443
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0284443
NEW YORK STATE
NY
Enumeration date
03/04/2020
Last updated
11/27/2023
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