Sydney E Foley, CASAC ADVANCED
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Menands, NY
NPI 1235614280 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1235614280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 31205 (NY)
- Practice address
- 444 Broadway
Menands, NY 12204-2887 - Phone
- (518) 650-2966
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 31205 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Park, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31205 | NY | Yes |
Addresses
Primary practice location
444 Broadway
Menands, NY 12204-2887
Mailing address
444 Broadway
Menands, NY 12204-2887
Phone (518) 650-2966
Other providers in Menands, NY
- Logan Dodd
- Jessica Edmonds
- Esquire Drug Inc.
- Rebecca M Fay
- Roman Flis
- Taneisha Nicole Foy
- Brianna Furer
- Fusion Recovery Centers
- Patick Galli
- Kiki Garg
All providers in Menands, 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 Jun 4, 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.