Individual
LIVINUS OBIANISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 ARLINGTON AVE, BRONX, NY 10463-3308
(929) 264-0922
Mailing address
239 E 21ST ST, NEW YORK, NY 10010-6463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33283
NY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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