Individual
AYELE T. AMOUZOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458-5203
(718) 584-7204
(212) 947-2429
Mailing address
20 W 37TH ST, NEW YORK, NY 10018-7479
(212) 268-8830
(212) 947-2429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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