MR. BRIAN WADE L.C.S.W
NPI 1336207182
Counselor - Mental Health in Commack, NY
Active since December 05, 2006
283 COMMACK RD, SUITE 125, COMMACK, NY 11725(631) 421-2547(631) 421-2547 Get Directions Write a Review
About Mr. Brian Wade L.c.s.w NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRIAN WADE L.C.S.W (NPI 1336207182) is an individual mental health provider in Commack, New York, licensed in New York (R037491-1) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1336207182
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRIAN WADECredential: L.C.S.W
Location Address283 COMMACK RD, SUITE 125Commack, NY 11725-6021
Mailing Address39 E 16th StHuntington Station, NY 11746-2931 · (631) 271-7226 · Fax (631) 421-2547
Phone(631) 421-2547
Fax(631) 421-2547
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336207182 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · R037491-1
283 COMMACK RD, Commack, NY 11725
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.
Psychiatry & Neurology (Neurology)
283 COMMACK RD, SUITE 101
COMMACK, NY 11725
COMMACK, NY 11725
Psychiatry & Neurology (Neurology)
283 COMMACK RD, SUITE 101
COMMACK, NY 11725
COMMACK, NY 11725
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336207182, enumerated as an "individual" on December 05, 2006.
The provider is located at 283 COMMACK RD SUITE 125 COMMACK, NY 11725 and the phone number is (631) 421-2547.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
