LUCIOUS CONWAY
NPI 1659718625
Counselor - Addiction (Substance Use Disorder) in New York, NY
Active since May 30, 2013
About Lucious Conway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCIOUS CONWAY (NPI 1659718625) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (CARC-90) and active in the NPI registry since May 2013.
NPPES Registry Identity
NPI1659718625
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLUCIOUS CONWAY
Location Address201 W 122ND ST, 504New York, NY 10027-5410
Mailing Address201 W 122nd St, 504New York, NY 10027-5410 · (718) 514-4560
Phone(718) 514-4560
Sole ProprietorNo
Enumeration DateMay 30, 2013
Last NPPES UpdateOctober 16, 2013
✔ NPI 1659718625 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · CARC-90
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 200924 (OK)
201 W 122ND ST, New York, NY 10027
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
201 W 122ND ST, 504
NEW YORK, NY 10027
NEW YORK, NY 10027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659718625, enumerated as an "individual" on May 30, 2013.
The provider is located at 201 W 122ND ST 504 NEW YORK, NY 10027 and the phone number is (718) 514-4560.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
