Individual
MS. MAYRA EMILIA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
2075 NEW YORK AVE, HUNTINGTON STATION, NY 11746-3238
(631) 351-7112
Mailing address
350 FULTON ST, WEST BABYLON, NY 11704-2130
(631) 355-6889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18589
NY
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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