Individual
MS. MALTA ANGELICA CIRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1751 PARK AVENUE, BAILEY HOUSE OASAS CLINIC, NEW YORK, NY 10035
(212) 991-4994
(212) 414-1431
Mailing address
1505 PARK AVE APT 12A, NEW YORK, NY 10029-3536
(646) 271-5043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7166
NY
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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