Active NPI
Eileen Mary Dimarzo, CRC
- Addiction (Substance Use Disorder) Counselor
- Hauppauge, NY
National Provider Identifier
1740447135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C-042354
- Practice address
- Suffolk County Department of Health Services
BLG 16 North County Complex Day Reporting Center
Hauppauge, NY 11788 - Phone
- (631) 853-6281
- Fax
- (631) 853-6254
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-042354 | NY | Primary |
Addresses
Primary practice location
Suffolk County Department of Health Services
BLG 16 North County Complex Day Reporting Center
Hauppauge, NY 11788
Mailing address
PO Box 6100 Suffolk County Dept. Health
BLG 16 North County Complex Day Reporting Center
Hauppauge, NY 11788
Phone (631) 853-6281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-042354 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1740447135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6100 SUFFOLK COUNTY DEPT. HEALTH",
"address_2": "BLG 16 NORTH COUNTY COMPLEX DAY REPORTING CENTER",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-853-6281",
"fax_number": "631-853-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES",
"address_2": "BLG 16 NORTH COUNTY COMPLEX DAY REPORTING CENTER",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-853-6281",
"fax_number": "631-853-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARZO",
"first_name": "EILEEN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "C-042354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.