Individual
MR. ROBERTO C DIMAMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8408
Mailing address
13 SULLIVAN LN, ARGYLE, NY 12809-1102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12213
NY
Other
Enumeration date
05/08/2013
Last updated
11/03/2022
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