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Individual

MR. ROBERTO DONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3524 83RD ST, QUEENS COMMUNITY LIVING PROGRAM (3RD FLOOR), JACKSON HEIGHTS, NY 11372-5229
(718) 639-0700
(718) 639-7684
Mailing address
525 ROCKAWAY PKWY, APT B42, BROOKLYN, NY 11212-3100
(718) 840-7925
(718) 639-7684

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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