Individual
JOHN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1064 FRANKLIN AVE, BRONX, NY 10456-6704
(718) 764-1590
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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