Individual
CARLOS RESURRECCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CARN
Contact information
Practice address
132 W 125TH ST FL 6, NEW YORK, NY 10027-4439
(212) 636-4848
(212) 866-5741
Mailing address
57 LINCOLN AVE, BERGENFIELD, NJ 07621-2519
(201) 244-9730
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
470554
NY
Other
Enumeration date
02/10/2022
Last updated
11/02/2023
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