Individual
SANDRA CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
488 E 164TH ST, BRONX, NY 10456-6620
(646) 224-0448
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(347) 649-3022
(718) 583-6439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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