Individual
ADRIAN STEPHEN MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18709 LINDEN BLVD, JAMAICA, NY 11412-4025
(718) 500-5549
Mailing address
18709 LINDEN BLVD, JAMAICA, NY 11412-4025
(718) 500-5549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922603059
GROUP NPI
—
Enumeration date
08/03/2022
Last updated
08/03/2022
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