Individual
MS. DEBORAH MANNERS-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
2488 GRAND CONCOURSE, STE 417, BRONX, NY 10458
(718) 584-7204
(718) 584-8394
Mailing address
2488 GRAND CONCOURSE, STE 417, BRONX, NY 10458
(718) 584-7204
(718) 584-8394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192488
—
NY
Enumeration date
02/11/2009
Last updated
02/11/2009
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