Individual
DENNIS FURUSHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7520 COURT STREET, ELIZABETHTOWN, NY 12932-0445
(518) 873-9144
Mailing address
PO BOX 445, ELIZABETHTOWN, NY 12932-0445
(518) 873-9144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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