Individual
GIBSON ALEXANDER AMBROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA/MA CASAC-T
Contact information
Practice address
148 POST AVE, NEW YORK, NY 10034-2667
(845) 267-1400
Mailing address
148 POST AVE, NEW YORK, NY 10034-2667
(845) 267-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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