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Individual

BRIAN MATONTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
37 ALLEGHENY DR E, FARMINGVILLE, NY 11738-2837
(631) 291-7074
Mailing address
37 ALLEGHENY DR E, FARMINGVILLE, NY 11738-2837
(631) 291-7074

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19546
NY

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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