Individual
CARLOS REAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC II
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457-7299
(718) 960-7522
(718) 583-6439
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522
(718) 583-6439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12993
NY
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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