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Individual

MR. LANCE IAN WOLFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHC

Contact information

Practice address
7 BEACH DR., HUNTINGTON, NY 11743-1458
(516) 236-7221
Mailing address
7 BEACH DR., HUNTINGTON, NY 11743-1458
(516) 236-7221

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P110215
NY

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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