| Institute For Staged Recovery | |
|
85 5th Ave Suite 905 New York NY 10003-3019 | |
| (212) 242-5052 | |
| (212) 627-9678 |
| Full Name | Institute For Staged Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 85 5th Ave, New York, New York |
| Authorized Official Name and Position | Elias J. Guerrero (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2122425052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Staged Recovery 85 5th Ave Suite 905 New York NY 10003-3019 Ph: (212) 242-5052 | Institute For Staged Recovery 85 5th Ave Suite 905 New York NY 10003-3019 Ph: (212) 242-5052 |
| NPI Number | 1700091071 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700091071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Primary |
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