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Individual

CLIFFORD WILLIAM RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2976 NORTHERN BLVD., LONG ISLAND CITY, NY 11101
(718) 517-7937
(347) 510-3457
Mailing address
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101-2829
(212) 697-7554

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
228947
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02740141
NY
Enumeration date
04/03/2018
Last updated
04/03/2018
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