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Individual

AL SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
63 GUN LN, LEVITTOWN, NY 11756-1109
(347) 633-5162
Mailing address
63 GUN LN, LEVITTOWN, NY 11756-1109
(347) 633-5162

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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