Individual
KIMBERLY ANDREA VAN OSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
Mailing address
488 VAN DUZER ST BSMT, STATEN ISLAND, NY 10304-2030
(718) 816-6589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36890
NY
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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