Individual
MR. MARK FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW, MSW
Contact information
Practice address
267 EDGECOMBE AVE, NUMBER 2G, NEW YORK, NY 10031-3002
(347) 752-2927
Mailing address
267 EDGECOMBE AVE, NUMBER 2G, NEW YORK, NY 10031-3002
(347) 752-2927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
P80372
NY
Other
Enumeration date
07/14/2010
Last updated
02/08/2012
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