Individual
GIAN MARSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
Mailing address
2264 AMSTERDAM AVE APT 2E, NEW YORK, NY 10032-2410
(646) 491-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34815
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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