Individual
AILIN D TAVERAS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
2369 2ND AVE FL 2, NEW YORK, NY 10035-3108
(212) 876-2300
Mailing address
2715 GRAND CONCOURSE APT 6B, BRONX, NY 10468-3799
(718) 690-6071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-T-39924
NY
Other
Enumeration date
02/12/2025
Last updated
06/17/2025
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