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Individual

MR. LUIS VENTURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16224 JAMAICA AVE, JAMAICA, NY 11432-4910
(718) 657-3714
(718) 657-2831
Mailing address
16224 JAMAICA AVE, JAMAICA, NY 11432-4910
(718) 657-3714
(718) 657-2831

Taxonomy

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

Other

Enumeration date
08/13/2008
Last updated
08/13/2008
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