Individual
MR. JEFFREY KIEWHON CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1369 BROADWAY, NEW YORK, NY 10018-7200
(212) 268-8830
(212) 947-2424
Mailing address
2698 8TH AVE, NEW YORK, NY 10030-1219
(347) 583-0718
(212) 947-2424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34585
NY
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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