Individual
ROBERT VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190
(212) 679-4960
Mailing address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190
(212) 679-4960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17584
CASAC
NY
Enumeration date
01/27/2010
Last updated
01/27/2010
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