Individual
MANUEL MOSCOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
57 ST MARK'S PLACE, NEW YORK, NY 10003
(212) 982-3470
Mailing address
57 SAINT MARKS PL, NEW YORK, NY 10003-7902
(212) 982-3470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29508
NY
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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