Individual
MARK IPRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
24 SMITH AVE, MOUNT KISCO, NY 10549-2814
(914) 666-6740
Mailing address
24 SMITH AVE, MOUNT KISCO, NY 10549-2814
(914) 666-6740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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