SILVER LAKE SUPPORT SERVICES, INC
NPI 1336363530
Counselor - Addiction (Substance Use Disorder) in Staten Island, NY

Q: What is Silver Lake Support Services, Inc's NPI number?

The NPI number for Silver Lake Support Services, Inc is 1336363530. It was assigned to this organization in the NPPES registry on April 12, 2007.

Q: What is Silver Lake Support Services, Inc's specialty?

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

Active since April 12, 2007

201 FOREST AVE, STATEN ISLAND, NY 10301(718) 815-3155(718) 815-3151 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Silver Lake Support Services, Inc NPPES

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

SILVER LAKE SUPPORT SERVICES, INC (NPI 1336363530) is a healthcare organization registered as an addiction (substance use disorder) in Staten Island, New York and active in the NPI registry since April 2007. The organization lists Avraham Schick, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336363530

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameSILVER LAKE SUPPORT SERVICES, INC

Location Address201 FOREST AVEStaten Island, NY 10301-2763

Mailing Address201 Forest AveStaten Island, NY 10301-2763 · (718) 815-3155 · Fax (715) 815-3151

Phone(718) 815-3155

Fax(718) 815-3151

Organization SubpartNo

Authorized OfficialAvraham SchickExecutive Director · (718) 720-9600

Enumeration DateApril 12, 2007

Last NPPES UpdateJune 17, 2010

✔ NPI 1336363530 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 · 061110987

201 FOREST AVE, Staten Island, NY 10301

Open in Google Maps ↗

Other Identifiers 1

Medicaid02097574NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

PATRICIA D'ADAMO

Counselor (Addiction (Substance Use Disorder))