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Individual

MELISSA ALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31 REGENT CIRCLE, STATEN ISLAND, NY 10312
(347) 415-2976
Mailing address
31 REGENT CIRCLE, STATEN ISLAND, NY 10312

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
225C00000X
Rehabilitation Counselor
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062345
NY
Enumeration date
09/05/2017
Last updated
09/05/2017
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