Individual
MR. CLIVE M WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 RANDALL AVE STE 3B, BRONX, NY 10473-4203
(929) 482-5581
Mailing address
4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY 10309-1321
(718) 356-5100
(718) 356-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38648
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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