Individual
DAVID JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 FARBER DRIVE, UNIT D, BELLPORT, NY 11713
(631) 286-0700
(631) 286-0688
Mailing address
11 FARBER DRIVE, UNIT D, BELLPORT, NY 11713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18907
NY
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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