Gregory Collier

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Monticello, NY

NPI 1700265154 · NPPES record last updated May 19, 2015

Key facts

NPI
1700265154
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
23071 (NY)
Practice address
17 Hamilton Ave
Monticello, NY 12701-1319
Phone
(845) 794-8080
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
23071NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23071 NY Yes

Addresses

Primary practice location

17 Hamilton Ave
Monticello, NY 12701-1319

Mailing address

6 Jefferson Garden Apt 1a
Monticello, NY 12701

Other providers in Monticello, NY

All providers in Monticello, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.