Individual provider · Type 1 NPI

Alexandros Mantzoukas

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1114496510 Active

Practice location

2369 2nd Ave
New York, NY 10035-3108

Fax (212) 722-7618

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1114496510

Alexandros Mantzoukas's National Provider Identifier is 1114496510, issued on Nov 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Nov 15, 2018.