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Organization

CAMELOT OF STATEN ISLAND, INC.

Active
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Organization

CAMELOT OF STATEN ISLAND, INC.

Active
Other names
Camelot Counseling Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUKE J. NASTA MPA, CASAC (EXECUTIVE DIRECTOR)
(718) 356-5100
Entity
Organization

Contact information

Practice address
263 PORT RICHMOND AVENUE, STATEN ISLAND, NY 10302
(718) 981-8117
(718) 981-8309
Mailing address
4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY 10309-1321
(718) 356-5100
(718) 981-8309

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—

Other

Enumeration date
01/10/2007
Last updated
08/22/2020
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