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NPI Code Detail

MEDICARE: ELIESER ALGARIN

MEDICARE: ELIESER ALGARIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor31429NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131429OTHERNYOASAS

General Provider Information

NPI Number : 1033640768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIESER ALGARIN
Provider Business Mailing Address
First Line : 55 TROUP ST
Second Line : CATHOLIC FAMILY CENTER
City : ROCHESTER
State : NY
Zip : 14608-2053
Country : US
Telephone Number : 585-546-1271
Fax Number :
Provider Business Practice Location Address
First Line : 55 TROUP ST
Second Line : CATHOLIC FAMILY CENTER
City : ROCHESTER
State : NY
Zip : 14608-2053
Country : US
Telephone Number : 585-546-1271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 03/24/2017

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