Individual
MR. JORGE L. OYOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-2
Contact information
Practice address
79-01 BROADWAY, ELMHURST, NY 11373
(718) 334-3182
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
022864
NY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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