Individual
ANDRE MCCLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
32522
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
Mailing address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133952613
—
NY
Enumeration date
12/15/2016
Last updated
12/15/2016
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