Individual
MS. GLADYS TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
425 CONEY ISLAND AVE, BROOKLYN, NY 11218-2605
(718) 306-5141
Mailing address
425 CONEY ISLAND AVE, BROOKLYN, NY 11218-2605
(718) 306-5141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17335
NY
Other
Enumeration date
01/23/2009
Last updated
12/20/2011
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