Individual
MR. LEROY KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 VANDERBILT AVE, STATEN ISLAND, NY 10304-2525
(718) 981-4382
Mailing address
86 MULBERRY AVE, STATEN ISLAND, NY 10314-3712
(347) 260-5999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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