Individual
MICHAEL ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
Mailing address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26718
NY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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