Individual
BARBARA COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
475 E MAIN ST, PATCHOGUE, NY 11772-3121
(631) 363-2001
Mailing address
475 E MAIN ST, PATCHOGUE, NY 11772-3121
(631) 363-2001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17218
NY
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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