Ventura Colon in Lackawanna - Addiction (substance Use Disorder)
Ventura Colon - NPI 1437295565
Ventura Colon is a Addiction (substance Use Disorder) in Lackawanna, New York. Ventura Colon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ventura Colon is 1437295565. The last update date is 2007-07-08.
Ventura Colon's current location address is 2600 South Park, Lackawanna, New York. You can contact this provider via phone number 7168222117 and fax number 7168228165. The mailing address for Ventura Colon is 2600 South Park, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ventura Colon |
|---|---|
| Address | 2600 South Park, Lackawanna, New York |
| Phone Number | 7168222117 |
| Fax Number | 7168228165 |
| Sole Proprietor | Y |
| Credentials | CRC |
NPI Number Detail
| NPI Number | 1437295565 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2600 South Park |
|---|---|
| City | Lackawanna |
| State | New York (NY) |
| Post Code | 14218 |
| Phone Number | 7168222117 |
| Fax Number | 7168228165 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 7175 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7175 | NY | CASAC | |
| 10771 | NY | CRC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ventura Colon?
The Ventura Colon has been issued the NPI (National Provider Identifier) 1437295565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ventura Colon's facilities are geographically located?
The facilities of Ventura Colon are physically situated at the following location: 2600 South Park, Lackawanna, NY, 14218.
What is Ventura Colon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ventura Colon's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437295565 to Ventura Colon?
The Ventura Colon received its 1437295565 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Ventura Colon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ventura Colon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.