Tyreek Gaston, COUNSELOR
Tyreek Gaston, COUNSELOR is a Substance Abuse Rehabilitation Facility in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
273 Heberton AveStaten Island, NY 10302-1809
Phone: (718) 412-3170
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Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1083117089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COUNSELOR |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2018 |
| Last updated in NPPES | March 15, 2018 |
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