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NPI Code Detail

MEDICARE: IRINA SNETKOVA COUNSELOR

MEDICARE: IRINA SNETKOVA COUNSELOR
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) Counselor

General Provider Information

NPI Number : 1457509770
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA SNETKOVA COUNSELOR
Provider Business Mailing Address
First Line : 1300 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1106
Country : US
Telephone Number : 718-954-3800
Fax Number : 718-954-3767
Provider Business Practice Location Address
First Line : 1300 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1106
Country : US
Telephone Number : 718-954-3800
Fax Number : 718-954-3767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 08/28/2008

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