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Individual

NICHOLAS GERMINARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
(631) 543-6203
Mailing address
230 ARDITO AVE, KINGS PARK, NY 11754-3647
(516) 721-7289

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31801
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31801
CERTIFICATE #
NY
Enumeration date
02/01/2016
Last updated
02/01/2016
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