Individual
CAROL CELAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N., CASAC-T
Contact information
Practice address
263/267 PORT RICHMOND AVE., STATEN ISLAND, NY 10302
(718) 981-8117
(718) 981-9344
Mailing address
106 WOODWARD AVE, STATEN ISLAND, NY 10314-6817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25866
NY
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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