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Individual

TONY JERMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
40 WOODBRIDGE AVE, SEWAREN, NJ 07077-1351
(732) 636-1931
(732) 636-1943
Mailing address
122 N FULTON AVE APT 2, MOUNT VERNON, NY 10550-7506
(347) 981-2938

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00135100
NY

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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