Individual
OMAR RIDDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
197 PEMBROOK DR, YONKERS, NY 10710-2805
(917) 574-8046
Mailing address
197 PEMBROOK DR, YONKERS, NY 10710-2805
(917) 574-8046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38665
NY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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