Individual
RENATA KOCIUBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 MANHATTAN AVENUE, BROOKLYN, NY 11222
(718) 383-7200
Mailing address
960 MANHATTAN AVENUE, BROOKLYN, NY 11222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
232827-1
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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