Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 28182 | NY |
Y | 101YM0800X | Mental Health Counselor | 005899-1 | NY |
NPI | 1003358623 |
---|---|
Provider Name | Antoinette D'orazio |
First Address | Hartsdale, NY 10530-1923 |
Second Address | Hartsdale, NY 10530-1923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2016 |
Last Update Date | 14/11/2016 |