Search › New York › Addiction (Substance Use Disorder) Counselor
Tyquan Bracker
NPI 1972997930 · on the registry since 2015 · sole proprietor
Practice
- Address
- 460 Brielle Ave
Staten Island, NY 10314 - Phone
- (718) 816-6589
- Organisation at this address
- Camelot Of Si
The Grace Foundation Of New York
North Shore Rescue Squad No. 1, Inc.
New York City Health And Hospitals Corporation
New York City Health And Hospitals CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Sex
- Male
- Record last updated
- 2015-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York