Individual
ADAM ROUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 356-5100
Mailing address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 356-5100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/10/2023
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