Individual
MICHAEL CANGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 8TH AVE, NEW YORK, NY 10018-6504
(212) 679-4960
Mailing address
500 8TH AVE, NEW YORK, NY 10018-6504
(212) 679-4960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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