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Individual

ADAM LEE WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3425 VERNON BLVD, ASTORIA, NY 11106-5121
(845) 590-0338
Mailing address
3425 VERNON BLVD, ASTORIA, NY 11106-5121
(845) 590-0338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-P-9224
NY

Other

Enumeration date
05/25/2026
Last updated
05/25/2026
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