JUDITH L CONKLIN CASAC
NPI 1356518898
Counselor - Addiction (Substance Use Disorder) in Rego Park, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since May 14, 2008

9729 64TH RD, REGO PARK, NY 11374(718) 896-3400(718) 459-5621 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Judith L Conklin Casac NPPES

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

JUDITH L CONKLIN CASAC (NPI 1356518898) is an individual addiction (substance use disorder) provider in Rego Park, New York, licensed in New York (4347) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1356518898

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJUDITH L CONKLINCredential: CASAC

Location Address9729 64TH RDRego Park, NY 11374-2240

Mailing Address5503 68th StMaspeth, NY 11378-1836 · (718) 505-1492

Phone(718) 896-3400

Fax(718) 459-5621

Sole ProprietorNo

Enumeration DateMay 14, 2008

✔ NPI 1356518898 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 · 4347

9729 64TH RD, Rego Park, NY 11374

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Other Identifiers 1

Medicaid00244019NY

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.

CARL JAY ROSENMANN

Internal Medicine