Individual
GEORGE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1688 VICTORY BLVD, STATEN ISLAND, NY 10314-3547
(718) 447-5700
Mailing address
1688 VICTORY BLVD, STATEN ISLAND, NY 10314-3547
(718) 447-5700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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