Camelot Of Staten Island, Inc. in Staten Island - Addiction (substance Use Disorder)
Camelot Of Staten Island, Inc. - NPI 1942359476
Camelot Of Staten Island, Inc. is a Addiction (substance Use Disorder) in Staten Island, New York. Camelot Of Staten Island, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Camelot Of Staten Island, Inc. is 1942359476. The last update date is 2020-08-22.
Camelot Of Staten Island, Inc.'s current location address is 263 Port Richmond Avenue, Staten Island, New York. You can contact this provider via phone number 7189818117 and fax number 7189818309. The mailing address for Camelot Of Staten Island, Inc. is 263 Port Richmond Avenue, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Camelot Of Staten Island, Inc. |
|---|---|
| Address | 263 Port Richmond Avenue, Staten Island, New York |
| Phone Number | 7189818117 |
| Fax Number | 7189818309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Nasta J. Luke |
| Credentials | MPA, CASAC |
| Telephone Number | 7183565100 |
NPI Number Detail
| NPI Number | 1942359476 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 263 Port Richmond Avenue |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 10302 |
| Phone Number | 7189818117 |
| Fax Number | 7189818309 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1292768 | NY | -- |
Post Comment/ Review Below
What is the Camelot Of Staten Island, Inc.'s 1942359476?
The Camelot Of Staten Island, Inc.'s NPI (National Provider Identifier) Number is 1942359476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Camelot Of Staten Island, Inc.'s physical address?
The Camelot Of Staten Island, Inc. is physically located at 263 Port Richmond Avenue, in the city of Staten Island, NY, with the postal code 10302.
What is Camelot Of Staten Island, Inc.'s area of expertise and its corresponding taxonomy classification?
The Camelot Of Staten Island, Inc.'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 Camelot Of Staten Island, Inc. receive its 1942359476 assignment from the Centers for Medicare & Medicaid Services?
The Camelot Of Staten Island, Inc. was assigned its 1942359476 by the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information pertaining to Camelot Of Staten Island, Inc. most recently updated or revised?
The details related to Camelot Of Staten Island, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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