Individual
MICHAEL THOMAS MARCHIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
Mailing address
165 BEACON AVE, STATEN ISLAND, NY 10306-1324
(917) 750-5032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01992814
—
NY
Enumeration date
11/09/2018
Last updated
11/09/2018
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