# CAMELOT OF STATEN ISLAND, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Camelot Counseling Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942359476
- **Authorized official:** MR. LUKE J. NASTA MPA, CASAC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 356-5100

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020