Syeda Ali, CASAC ADVANCED
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Centereach, NY
NPI 1093563249 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1093563249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 35288 (NY)
- Practice address
- 116 Stanley Dr
Centereach, NY 11720-2232 - Phone
- (631) 504-1648
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35288 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 35288 | NY | Yes |
Addresses
Primary practice location
116 Stanley Dr
Centereach, NY 11720-2232
Mailing address
116 Stanley Dr
Centereach, NY 11720-2232
Phone (631) 504-1648
Other providers in Centereach, NY
- Nicole Marie Alabre
- Amanda Alaia
- Alan Lucks MDPC
- Alan Lucks, MD, PC
- Johanne Alexis
- Samantha Alotta
- Linda Altenburger
- Lizette Amparado
- Danielle A Angelo
- Alyssa Margaret Angilella
All providers in Centereach, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.