Individual provider · Type 1 NPI
Derwin Manigault
Addiction (Substance Use Disorder) Counselor · Pomona, NY
NPI number
1720735095
Active
Practice location
8303 Overhill Dr
Pomona, NY 10970-3808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1720735095
Derwin Manigault's National Provider Identifier is 1720735095, issued on Mar 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, NY. The record was last updated on Mar 7, 2022.