Individual provider · Type 1 NPI

Jerry Gloster

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

NPI number 1679945398 Active

Practice location

1795 Lexington Ave
New York, NY 10029-2866

Fax (212) 289-2430

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21708 (NY)
Social Worker 104100000XNone listed

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

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About NPI 1679945398

Jerry Gloster's National Provider Identifier is 1679945398, issued on Oct 21, 2015. 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 Oct 21, 2015.