Tyrone Anthony, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Freeport, NY
NPI 1710105945 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710105945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 2498 (NY)
- Practice address
- 110 Evans Ave
Freeport, NY 11520-1435 - Phone
- (516) 546-4960
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 2498 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2498 | NY | Yes |
Addresses
Primary practice location
110 Evans Ave
Freeport, NY 11520-1435
Mailing address
110 Evans Ave
Freeport, NY 11520-1435
Phone (516) 546-4960
Other providers in Freeport, NY
- Andi International Inc.
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- Angel Rose Care Services, Inc.
- Gianina Elisa Aniano
- Sherly Norva Antoine
- Arewa Care Connect LLC
- Melyssa Arguello
- Farrah Aristhene
- Christopher George Armbruster
All providers in Freeport, 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 Jul 8, 2007. 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.