Individual
MAUREEN FRANQUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
9729 64TH RD, REGO PARK, NY 11374-2240
(718) 896-3400
(718) 459-5621
Mailing address
970 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-3434
(718) 896-3400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244019
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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