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TYRONE WATSON CASAC -2
NPI 1144884594
Counselor - Addiction (Substance Use Disorder) in Long Island City, NY

Active since April 30, 2019
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101(929) 401-1017 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Tyrone Watson Casac -2 NPPES

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

TYRONE WATSON CASAC -2 (NPI 1144884594) is an individual addiction (substance use disorder) provider in Long Island City, New York, licensed in New York (21346) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1144884594
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTYRONE WATSONCredential: CASAC -2
Location Address2976 NORTHERN BLVDLong Island City, NY 11101-2822
Mailing Address660 E 98th StBrooklyn, NY 11236-1356 · (929) 401-1017
Phone(929) 401-1017
Sole ProprietorNo
Enumeration DateApril 30, 2019
Last NPPES UpdateJuly 17, 20202 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1144884594 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 · 21346
2976 NORTHERN BLVD, Long Island City, NY 11101
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Other Providers at the Same Location NPPES 20

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

MR. ANDRE GARCIA
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MS. IVETTE ALVALLE
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3618
GLEN TORLECE BRACKEN
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3646
RAY ALI TEBOUT CASAC
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (646) 807-8886
MR. OMAR ARCHIBALD
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3637
MR. CLYDE HAGAN
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3644
MR. CASIMIRO S TORRES
Case Manager/Care Coordinator
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MAUREEN FISCHER
Social Worker (Clinical)
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3659

Frequently Asked Questions

What is Tyrone Watson's NPI number?

The NPI number assigned to this healthcare provider is 1144884594, enumerated as an "individual" on April 30, 2019.

Where is the provider located?

The provider is located at 2976 NORTHERN BLVD LONG ISLAND CITY, NY 11101 and the phone number is (929) 401-1017.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).