Individual
LUIS CORCHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 E 17TH ST, BROOKLYN, NY 11229-1281
(718) 233-2533
Mailing address
1670 E 17TH ST, BROOKLYN, NY 11229-1281
(718) 233-2533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20520
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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