Individual
IKE DWECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
255 AVENUE W, BROOKLYN, NY 11223-5202
(866) 569-7233
Mailing address
PO BOX 230060, BROOKLYN, NY 11223-0060
(866) 569-7233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18644
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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