Individual
MAURICE KENYATA HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 WATER ST, NEW YORK, NY 10004-6001
(347) 859-5570
Mailing address
50 WATER ST, NEW YORK, NY 10004-6001
(347) 859-5570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37174
NY
Other
Enumeration date
12/05/2025
Last updated
03/05/2026
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