Individual
JASON PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
460 BRIELLE AVE, STATEN ISLAND, NY 10314-6427
(718) 816-6589
Mailing address
263 WELLBROOK AVE, STATEN ISLAND, NY 10314-6926
(347) 965-2167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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