Anton Alisankus
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Orchard Park, NY
NPI 1922400746 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1922400746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18288 (NY)
- Practice address
- 272 Thorn Ave
Orchard Park, NY 14127 - Phone
- (716) 662-2040
- Fax
- (716) 662-0019
- NPI assigned
- Sep 24, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18288 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18288 | NY | Yes |
Addresses
Primary practice location
272 Thorn Ave
Orchard Park, NY 14127
Mailing address
272 Thorn Ave
Orchard Park, NY 14127
Phone (716) 662-2040
Other providers in Orchard Park, NY
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- Jenna Aldrich
- Dennis Ross Alexander
- Gary Joseph Alexander
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- Kara Allaire
- Julio A Alvarez-Perez
- Jessica C Amborski
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All providers in Orchard Park, 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 Sep 24, 2014. 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.