Individual
JEAN DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
764 E 176TH ST, BRONX, NY 10460-4606
(718) 542-8770
Mailing address
764 E 176TH ST, BRONX, NY 10460-4606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22477
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
P14415
NY
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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