Individual
DAMIAN VANDENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Mailing address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31626
NY
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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