Individual
MICHAEL RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
Mailing address
57 NEVADA RD, WEST BABYLON, NY 11704-2537
(631) 553-2892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13146-T
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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