Individual
MR. KEITH ANTHONY BATTLES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
148 BAY ST FL 2, STATEN ISLAND, NY 10301-2503
(718) 981-6861
(718) 981-6852
Mailing address
148 BAY ST FL 2, STATEN ISLAND, NY 10301-2503
(718) 981-6861
(718) 981-6852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20725
NY
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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