Individual
MR. ANTHONY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADVANCE CASAC
Contact information
Practice address
880 BERGEN ST, BROOKLYN, NY 11238-3301
(718) 613-7530
(718) 613-7564
Mailing address
880 BERGEN ST, BROOKLYN, NY 11238-3301
(718) 613-7530
(718) 613-7564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21760
NY
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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