Individual
MR. SEAN J. DEDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
813 ASTORIA BLVD, ASTORIA, NY 11102-4028
(212) 281-6004
(212) 281-7155
Mailing address
813 ASTORIA BLVD, ASTORIA, NY 11102-4028
(212) 281-6004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32656
NY
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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