Individual
MIRIAM BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
131 W 25TH ST, NEW YORK, NY 10001-7207
(212) 529-6320
Mailing address
131 W 25TH ST, NEW YORK, NY 10001-7207
(212) 529-6320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35715
NY
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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