Individual
JAMES MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N PORTLAND AVE RM B228, BROOKLYN, NY 11205-2005
(718) 260-7788
(718) 260-4805
Mailing address
100 N PORTLAND AVE RM B228, BROOKLYN, NY 11205-2005
(718) 260-7788
(718) 260-4805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19569
NYS OFFICE OF ADDICITON AND SUPPORT SERVICES
NY
Enumeration date
09/29/2020
Last updated
09/29/2020
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