Individual
MATILDA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C-T
Contact information
Practice address
116 E 92ND ST, NEW YORK, NY 10128-1620
(212) 289-7166
Mailing address
116 E 92ND ST, NEW YORK, NY 10128-1620
(212) 289-7166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A100136367
—
NY
Enumeration date
10/25/2018
Last updated
10/25/2018
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