Individual
TYRONE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC -2
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(929) 401-1017
Mailing address
660 E 98TH ST, BROOKLYN, NY 11236-1356
(929) 401-1017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21346
NY
Other
Enumeration date
04/30/2019
Last updated
07/17/2020
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