Individual
MR. KINGSLEY EGHOSA ERHUNMWUNSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
273 HERBERTON AVENUE, STATEN ISLAND, NY 10303
(718) 412-3170
Mailing address
4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY 10309-1321
(718) 412-3170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237091329
—
NY
Enumeration date
11/02/2021
Last updated
11/02/2021
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