Individual
MR. ALLEN LUTHER BOONE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA - P
Contact information
Practice address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(718) 412-3170
(718) 420-0514
Mailing address
97 SAINT MARYS AVE APT 3, STATEN ISLAND, NY 10305-1857
(516) 860-9845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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