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WILFREDO MALE CORREA CRPA
NPI 1003665829
Counselor - Addiction (Substance Use Disorder) in Deer Park, NY

Active since May 14, 2024
770 GRAND BLVD STE 17, DEER PARK, NY 11729(631) 392-4357 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilfredo Male Correa Crpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILFREDO MALE CORREA CRPA (NPI 1003665829) is an individual addiction (substance use disorder) provider in Deer Park, New York, licensed in New York (CRPA-5781) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1003665829
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWILFREDO MALE CORREACredential: CRPA
Location Address770 GRAND BLVD STE 17Deer Park, NY 11729-5725
Mailing Address220 Fairview CirMiddle Island, NY 11953-2353 · (347) 584-3565
Phone(631) 392-4357
Sole ProprietorNo
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1003665829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · CRPA-5781
770 GRAND BLVD STE 17, Deer Park, NY 11729
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ELIZABETH MOYER LMSW
Social Worker (Clinical)
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (585) 362-1939
ADAM FRIEDMAN CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
BRIANNA SANTELLA MORANO CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
MARISSA O'CONNOR
Social Worker
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (516) 361-3576
MRS. MARY ALICE DOWLING NP
Nurse Practitioner (Psychiatric/Mental Health)
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
KAYLA EDWARDS BSW
Social Worker (Clinical)
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
KIMBERLY ANN NAPOLITANO CASAC CRPA CARC
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 449-4363
WILLIAM GALLAGHER CASAC-T, CRPA
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD STE 17
DEER PARK, NY 11729
Suffolk County (631) 919-7294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilfredo Correa's NPI number?

The NPI number for Wilfredo Correa is 1003665829. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Wilfredo Correa located?

Wilfredo Correa practices at 770 Grand Blvd Ste 17, Deer Park, NY 11729. The listed phone number is (631) 392-4357.

What is Wilfredo Correa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Wilfredo Correa was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.