Individual
SYEDA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC ADVANCED
Contact information
Practice address
116 STANLEY DR, CENTEREACH, NY 11720-2232
(631) 504-1648
Mailing address
116 STANLEY DR, CENTEREACH, NY 11720-2232
(631) 504-1648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35288
NY
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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