Individual
MICHAEL MANUEL BECERRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 OLD ROUTE 6, CARMEL, NY 10512-2107
(845) 225-5202
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34807
NY
Other
Enumeration date
09/13/2018
Last updated
06/02/2021
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