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Individual

MR. NEWMAN N NIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHC-LP, CASAC2

Contact information

Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
(718) 377-0752
Mailing address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
(718) 377-0752

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133952613
NY
Enumeration date
11/13/2018
Last updated
07/11/2022
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