Organization
ANGEL SIERRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ANTHONY SIERRA CASAC-T (SUBSTANCE ABUSE COUNSELOR)
(718) 827-8700
Entity
Organization
Contact information
Practice address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
Mailing address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52213
—
NY
Enumeration date
05/15/2014
Last updated
05/15/2014
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