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Individual

A. ANTONIO ESPINOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
20 CHURCH ST, WHITE PLAINS, NY 10601-1901
(914) 421-0400
Mailing address
123 RANDOLPH RD, WHITE PLAINS, NY 10607-1518
(914) 949-8793

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2339
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2339
OASAS
NY
Enumeration date
01/13/2010
Last updated
01/13/2010
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