Individual provider · Type 1 NPI

Pauline Cannella

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1053011825 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Fax (718) 228-6993

Mailing address

1192 1st Ave Apt 3B
New York, NY 10065-7111

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-37096 (NY)

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

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About NPI 1053011825

Pauline Cannella's National Provider Identifier is 1053011825, issued on Mar 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 22, 2024.