Individual
MR. FRED MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-G
Contact information
Practice address
810 CLASSON AVE, BROOKLYN, NY 11238-6102
(718) 230-5700
Mailing address
50 RIVERDALE AVE, APT 3M, YONKERS, NY 10701-3642
(914) 262-7967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8496
NY
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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