Individual
DAMARIS ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 EAST 161ST STREET MOT, BRONX, NY 10452
(718) 993-3397
Mailing address
75 W 238TH ST # STREET7K, BRONX, NY 10463-4239
(718) 543-2653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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