Individual
CHRISTOPHER GENE DOLOROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC-T, QDCP
Contact information
Practice address
408 MAIN STREET #3, CENTER MORICHES, NY 11934
(631) 874-0185
Mailing address
408 MAIN ST #3, CENTER MORICHES, NY 11934
(631) 312-2764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092520-1
NY
Other
Enumeration date
08/19/2014
Last updated
10/30/2014
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