Individual
IRICK ARMEL LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117
Mailing address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117
(718) 981-8344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36443
NY
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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