Individual
BENAYA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC II
Contact information
Practice address
175 CENTRAL AVE, ALBANY, NY 12206-2937
(518) 729-5659
Mailing address
311 E 175TH ST, BRONX, NY 10457-5848
(718) 299-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-31596
NY
Other
Enumeration date
02/03/2022
Last updated
02/09/2022
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