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Individual

ERIC ISHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
23 CHAUNCEY LN, CORAM, NY 11727-3504
(347) 804-4199
Mailing address
23 CHAUNCEY LN, CORAM, NY 11727-3504
(347) 804-4199

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18293
NY

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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