Michelle Alicea
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · White Plains, NY
NPI 1255100855 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1255100855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 39099 (NY)
- Practice address
- 20 Church St
White Plains, NY 10601-1926 - Phone
- (914) 275-0855
- NPI assigned
- Dec 22, 2023
- 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 |
|---|---|---|---|
| 39099 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 39099 | NY | Yes |
Addresses
Primary practice location
20 Church St
White Plains, NY 10601-1926
Mailing address
2960 Grand Concourse Apt 3E
Bronx, NY 10458-1906
Phone (718) 552-7969
Other providers in White Plains, NY
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- Fayez A Ali
- Maria Sevilla Alicea
- Amanda Marie Alioto
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- All Women'S Medical Office Based Surgery PLLC
- Vivienne J Allain
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All providers in White Plains, 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 Dec 22, 2023. 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.