Individual
KURT R PALONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER CASAC
Contact information
Practice address
9002 161ST ST, JAMAICA, NY 11432-6108
(718) 520-1513
(718) 520-6460
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(718) 520-1513
(718) 520-6460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17922
NY
Other
Enumeration date
04/26/2022
Last updated
04/14/2025
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