NPI 1003185216

Robert Stanley Burch, CASAC

Practitioner Addiction (Substance Use Disorder) Counselor Brooklyn, NY

Practice location

Address: 567 E 105th St Canarsie Multi Service Center, Brooklyn, NY 11236-2213
Phone: (718) 307-3018

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 6603 (NY)

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Registry record

NPI: 1003185216
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2011
Record last updated: 16 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.