Individual
CARLOS RAMPOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
82-68 164TH ST, JAMAICA, NY 11432
(718) 883-3225
(718) 883-6193
Mailing address
82-68 164TH ST, JAMAICA, NY 11432
(718) 883-3225
(718) 883-6193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
007598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
03/10/2008
Last updated
03/10/2008
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