Individual
DAVID LEE CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC, CPP
Contact information
Practice address
1910 ARTHUR AVE, BRONX, NY 10457-6305
(717) 583-5100
Mailing address
1910 ARTHUR AVE, BRONX, NY 10457-6305
(717) 583-5100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6314, 691
NY
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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