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ANTHONY J. PETTINELLI CASAC-T
NPI 1902636772
Counselor - Addiction (Substance Use Disorder) in Queensbury, NY

Active since August 06, 2024
25 WILLOWBROOK RD, QUEENSBURY, NY 12804(518) 926-7200 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony J. Pettinelli Casac-t NPPES

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

ANTHONY J. PETTINELLI CASAC-T (NPI 1902636772) is an individual addiction (substance use disorder) provider in Queensbury, New York, licensed in New York (38520) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1902636772
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTHONY J. PETTINELLICredential: CASAC-T
Location Address25 WILLOWBROOK RDQueensbury, NY 12804-5882
Mailing Address25 Willowbrook RdQueensbury, NY 12804-5882 · (518) 926-7200
Phone(518) 926-7200
Sole ProprietorYes
Enumeration DateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1902636772 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 · 38520
25 WILLOWBROOK RD, Queensbury, NY 12804
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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.

COURTNEY PAIGE BRIMMER
Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7100
MRS. SHALYN MAE HALL
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7100
JENELLE BAKER LMHC
Counselor (Mental Health)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 744-2994
MS. JULIA ANNE RADNOFSKY LMSW
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7100
SUSAN MARIE TYRRELL CRPA
Clinic/Center (Recovery Care)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7200
SCHADIQUE ESCOFFERY
Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7100
MACHELLE ANNE TRZASKOS LPN
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 926-7100
ASHLIE M CZELATKA LMSW
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Warren County (518) 563-8206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Pettinelli's NPI number?

The NPI number for Anthony Pettinelli is 1902636772. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Anthony Pettinelli located?

Anthony Pettinelli practices at 25 Willowbrook Rd, Queensbury, NY 12804. The listed phone number is (518) 926-7200.

What is Anthony Pettinelli's specialty?

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

When was this NPI record last updated?

The NPPES record for Anthony Pettinelli was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.