Individual provider · Type 1 NPI

Wilfredo Male Correa, CRPA

Addiction (Substance Use Disorder) Counselor · Deer Park, NY

NPI number 1003665829 Active

Practice location

770 Grand Blvd Ste 17
Deer Park, NY 11729-5725

Mailing address

220 Fairview Cir
Middle Island, NY 11953-2353

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCRPA-5781 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003665829

Wilfredo Male Correa, CRPA's National Provider Identifier is 1003665829, issued on May 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, NY. The record was last updated on May 14, 2024.