Individual
MICHAEL PALLONETTI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
90-02 161ST STREET, JAMAICA, NY 11432-3631
(718) 520-1503
(718) 520-6460
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(917) 690-6059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39006
NY
Other
Enumeration date
02/08/2023
Last updated
11/07/2023
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