ETHAN EMERY

BRONX, NY
NPI1922543396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  28915)
Enumeration Date2016-12-21
Last Update Date2016-12-21
Business Address
-- ETHAN EMERY
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number: 718-653-1117
Mailing Address
-- ETHAN EMERY
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number: 718-653-1117