Individual
HUSANI HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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