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Individual

KENNETH PFEIFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
830 FOREST AVE RM 139, BRONX, NY 10456-7802
(718) 742-5684
Mailing address
198 BEACH 102ND ST APT 1E, ROCKAWAY PARK, NY 11694-2853
(347) 205-1780

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18708
NY

Other

Enumeration date
08/31/2017
Last updated
09/27/2024
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