Individual
MR. RUBEN JAY QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
209 PARK ST, MALONE, NY 12953-1228
(518) 483-8980
(518) 483-4830
Mailing address
209 PARK ST, MALONE, NY 12953-1228
(518) 483-8980
(518) 483-4830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20859
NY
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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