Individual
ROBERT AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
764 E 176TH ST, BRONX, NY 10460-4606
(718) 542-8770
Mailing address
3425 VERNON BLVD, ASTORIA, NY 11106-5121
(929) 443-0392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34138
NY
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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