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Individual

MR. SURAFEL GETACHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
9114 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 779-1600
(347) 612-4162
Mailing address
507 MARSHALL CT, UNIONDALE, NY 11553-2111
(516) 461-7384

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39412
NY
175T00000X
Peer Specialist
CRPA-5634
NY

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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