Kevin Michael Wadalavage in Forest Hills - Addiction (substance Use Disorder)
Kevin Michael Wadalavage - NPI 1629088117
Kevin Michael Wadalavage is a Addiction (substance Use Disorder) in Forest Hills, New York. Kevin Michael Wadalavage practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kevin Michael Wadalavage is 1629088117. The last update date is 2007-07-08.
Kevin Michael Wadalavage's current location address is 184 Burns St, Forest Hills, New York. You can contact this provider via phone number 7185200124. The mailing address for Kevin Michael Wadalavage is 184 Burns St, Forest Hills, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Michael Wadalavage |
|---|---|
| Address | 184 Burns St, Forest Hills, New York |
| Phone Number | 7185200124 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.M.H.C. |
NPI Number Detail
| NPI Number | 1629088117 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 184 Burns St |
|---|---|
| City | Forest Hills |
| State | New York (NY) |
| Post Code | 113756128 |
| Phone Number | 7185200124 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2421 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin Michael Wadalavage by the Centers for Medicare & Medicaid Services?
The Kevin Michael Wadalavage has been issued the NPI (National Provider Identifier) 1629088117 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kevin Michael Wadalavage's physical address?
The Kevin Michael Wadalavage is physically located at 184 Burns St, in the city of Forest Hills, NY, with the postal code 113756128.
What is Kevin Michael Wadalavage's area of expertise and its corresponding taxonomy classification?
The Kevin Michael Wadalavage's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629088117 to Kevin Michael Wadalavage?
The Centers for Medicare & Medicaid Services originally issued the 1629088117 to Kevin Michael Wadalavage on 2006-08-08.
As of what date was the information pertaining to Kevin Michael Wadalavage, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Michael Wadalavage, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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