Individual
MR. ANTHONY HERBERT PRIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10 KAYLEEN DR, NEW WINDSOR, NY 12553-7030
(845) 565-6888
Mailing address
57 BAYBERRY DR, MONROE, NY 10950-5607
(845) 783-2167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
070224-1
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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