Individual
MR. JOHN LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
402 E 156TH ST, BRONX, NY 10455-1232
(718) 993-2376
(718) 993-9164
Mailing address
402 E 156TH ST, BRONX, NY 10455-1232
(718) 993-2376
(718) 993-9164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170610001
NY
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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