Individual
JOSHUA BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
285 VANDERBILT AVE, STATEN ISLAND, NY 10304-2525
(718) 981-4382
Mailing address
285 VANDERBILT AVE, STATEN ISLAND, NY 10304-2525
(718) 981-4382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131624228
—
NY
Enumeration date
02/06/2019
Last updated
02/06/2019
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