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Aaron Smith
Substance Abuse Rehabilitation Facility in Staten Island, New York
NPI 1518491174

Aaron Smith is a Substance Abuse Rehabilitation Facility based in Jamaica, NY. Aaron Smith practices in Staten Island, NY. The NPI Number for Aaron Smith is 1518491174 and holds a License No. 27067 (New York).

The current practice location address for Aaron Smith is 460 Brielle Ave, Building H, Staten Island, NY and can be reached out via phone at 718-412-3155 and via fax at 718-816-1868.

Location: 460 Brielle Ave, Building H, Staten Island, NY, 11434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518491174
Provider Name
Aaron Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
460 Brielle Ave, Building H, Staten Island, NY, 11434
Phone Number
718-412-3155
Fax Number
718-816-1868
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
YM68601W 05 NY
institution
Provider Business Practice Location Address Details
Address
460 Brielle Ave, Building H
City
Staten Island
State
New York
Zip
10314
Phone Number
718-412-3155
Fax Number
718-816-1868
person
Provider Business Mailing Address Details
Address
460 Brielle Ave, Building H
City
Staten Island
State
New York
Zip
10314
Phone Number
718-412-3155
Fax Number
718-816-1868
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
27067 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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