IVAN ENRIQUE ISAA

HICKSVILLE, NY
NPI1437314424
Professional NameBARBARA NAZKANI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2008-07-19
Last Update Date2008-07-19
Business Address
-- IVAN ENRIQUE ISAA CASAC-T
385 W JOHN ST
HICKSVILLE, NY 11801-1033
Phone number: 516-935-6858
Mailing Address
-- IVAN ENRIQUE ISAA CASAC-T
385 W JOHN ST
HICKSVILLE, NY 11801-1033
Phone number: 516-935-6858