Individual
MR. JOSE CHUQUIRUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2 DONALD CT., FARMINGDALE, NY 11735-3214
(516) 293-3119
(516) 378-0348
Mailing address
2 DONALD CT, FARMINGDALE, NY 11735-3214
(516) 293-3119
(516) 378-0348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12152
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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