Individual
DR. BRUCE GARY NASH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
475 E MAIN ST, PATCHOGUE, NY 11772-3121
(631) 369-7800
(631) 702-8049
Mailing address
475 E MAIN ST, PATCHOGUE, NY 11772-3121
(631) 363-2001
(631) 702-8049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33103
NY
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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