Most Relevant Information
Provider Data
| NPI Number: | 1003310939 |
| Provider Name: | ALLISON AMENEIROS COUNSELOR |
| Entity Type: | Individual |
| Taxonomy Code: | 324500000X |
| Specialty: | Substance Abuse Rehabilitation Facility |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2018 |
| Last Updated: | 03/23/2018 |
Provider Practice Location
273 HEBERTON AVE
STATEN ISLAND
NY
103021809
Practice Location Phone/Fax
| Phone: | 7184123170 |
| Fax: |
Provider Mailing Location
273 HEBERTON AVE
STATEN ISLAND
NY
103021809
Provider Mailing Phone/Fax
| Phone: | 7184123170 |
| Fax: |