Individual
DR. ROBERT ELLIS POWER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
1007 ATLANTIC AVE APT 4D, BROOKLYN, NY 11238-3469
(516) 586-0001
(516) 530-1838
Mailing address
77 SANDS ST FL 6, BROOKLYN, NY 11201-1431
(516) 586-0001
(516) 530-1838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35587
NY
101YP1600X
Pastoral Counselor
EXEMPT
NY
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
3476
NY
175T00000X
Peer Specialist
3476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01799
ALCOHOL AND DRUG ABUSE CERTIFICATION BOARD OF GEORGIA (ADACBGA)
GA
01
—
35587
OFFICE OF ADDICTION SERVICES AND SUPPORTS
NY
01
—
CARP-3476
NY CERTIFICATION BOARD - ASAP OF NEW YORK
—
Enumeration date
04/09/2019
Last updated
02/08/2024
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