STACY G PAGAN

STATEN ISLAND, NY
NPI1164990347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  24953)
Enumeration Date2018-11-06
Last Update Date2018-11-06
Business Address
Mrs. STACY G PAGAN
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 917-439-6866
Mailing Address
Mrs. STACY G PAGAN
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 917-439-6866