Individual provider · Type 1 NPI

Ethel Speyerer, RN

Addiction (Substance Use Disorder) Counselor · Kew Gardens, NY

NPI number 1093168684 Active

Practice location

8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607

Fax (518) 952-8287

Mailing address

PO Box 1188
Albany, NY 12201-1188

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X233782 (NY)

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

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About NPI 1093168684

Ethel Speyerer, RN's National Provider Identifier is 1093168684, issued on Jul 19, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kew Gardens, NY. The record was last updated on Jul 19, 2016.