Individual provider · Type 1 NPI

Mary Bragoli

Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY

NPI number 1083735302 Active

Practice location

31 E Montauk Hwy
Hampton Bays, NY 11946-1816

Call (631) 723-3362 Map

Mailing address

7 Ocean Ave
Hampton Bays, NY 11946-2322

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8150 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083735302

Mary Bragoli's National Provider Identifier is 1083735302, issued on Apr 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hampton Bays, NY. The record was last updated on Jul 8, 2007.