Organization
COUNSELING SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KETAY MBA (OPERATIONS MANAGER)
(718) 590-1790
Entity
Organization
Contact information
Practice address
911 WALTON AVE, SUITE 1B, BRONX, NY 10452
(718) 590-1790
(718) 590-1791
Mailing address
911 WALTON AVE, SUITE 1B, BRONX, NY 10452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663243
—
NY
Enumeration date
08/17/2006
Last updated
05/14/2015
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