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Individual

TANISSHA RUTH KAUFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 SICKLES AVE, NEW ROCHELLE, NY 10801-4030
(914) 632-1374
Mailing address
1960 PARK AVE, NEW YORK, NY 10037-2920
(917) 702-8159

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/06/2013
Last updated
02/06/2013
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