Individual
ANDREW BLACKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
12 THORNWOOD DR, NEW CITY, NY 10956-3412
(845) 721-0089
Mailing address
12 THORNWOOD DR, NEW CITY, NY 10956-3412
(845) 721-0089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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