Individual
FREDERICK KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
(718) 827-0550
Mailing address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
(718) 827-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114950151
—
NY
Enumeration date
01/21/2016
Last updated
01/21/2016
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