Individual
MR. ANTONIO MANUEL VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
72 SEAMAN AVE, APARTMENT 4-H, NEW YORK, NY 10034-2822
(646) 964-5396
(646) 964-5396
Mailing address
72 SEAMAN AVE, APARTMENT 4-H, NEW YORK, NY 10034-2822
(646) 964-5396
(646) 964-5396
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
19543
NY
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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