Individual
PRAYASI BAGCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 8TH ST, BRENTWOOD, NY 11717-5325
(631) 629-8220
Mailing address
141 8TH ST, BRENTWOOD, NY 11717-5325
(631) 629-8220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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