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Individual

SHERIF SOUMANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRPA-P

Contact information

Practice address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117
Mailing address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/01/2021
Last updated
04/01/2021
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