TIMOTHY PAGE CASAC
NPI 1215352232
Counselor - Addiction (Substance Use Disorder) in Mineola, NY
Active since February 27, 2014
About Timothy Page Casac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY PAGE CASAC (NPI 1215352232) is an individual addiction (substance use disorder) provider in Mineola, New York, licensed in New York (25552) and active in the NPI registry since February 2014.
NPPES Registry Identity
NPI1215352232
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY PAGECredential: CASAC
Location Address110 MAIN STMineola, NY 11501-4000
Mailing Address110 Main StMineola, NY 11501-4000 · (516) 747-5644 · Fax (516) 747-2556
Phone(516) 747-5644
Fax(516) 747-2556
Sole ProprietorNo
Enumeration DateFebruary 27, 2014
✔ NPI 1215352232 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 · 25552
110 MAIN ST, Mineola, NY 11501
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.
Pathology (Anatomic Pathology & Clinical Pathology)
110 MAIN ST
MINEOLA, NY 11501
MINEOLA, NY 11501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215352232, enumerated as an "individual" on February 27, 2014.
The provider is located at 110 MAIN ST MINEOLA, NY 11501 and the phone number is (516) 747-5644.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
