Individual
MYRLEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW CASAC
Contact information
Practice address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
Mailing address
1366 INWOOD AVE, BRONX, NY 10452-3203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13150
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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