MR. David De La Rosa, CASAC

NPI #1902278914 in Douglaston, New York

Provider Information

NPI Number: 1902278914
Entity Type: Individual
Name: MR. David De La Rosa, CASAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CASAC
Enumeration Date: Oct 29, 2015
Last Updated: Oct 29, 2015

Practice Location

Address: 24429 61ST AVE
City: Douglaston
State: New York
ZIP Code: 11362-1934
Phone: (212) 663-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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