Individual
ALEXIS PEDROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC., PEEKSKILL, NY 10566-2913
(914) 734-8800
(914) 734-8808
Mailing address
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC., PEEKSKILL, NY 10566-2913
(914) 734-8800
(914) 734-8808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
06/03/2014
Last updated
06/03/2014
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