Whalio Doctors

NPI 1518491174

Aaron Smith

Practitioner Substance Abuse Rehabilitation Facility Staten Island, NY

Practice location

Address
460 Brielle Ave, Building H, Staten Island, NY 10314
Phone
(718) 412-3155
Fax
(718) 816-1868
Mailing address
17212 133rd Ave, Jamaica, NY 11434

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 27067 (NY)

Registry record

NPI
1518491174
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Apr 2017
Record last updated
20 Apr 2017

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.