Individual
MR. JOHN CHERNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(717) 816-6589
Mailing address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(717) 816-6589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24627
NY
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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