Organization
NEXT STEPS SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEYLA I DITTERLIZZI CASAC (COUNSELOR II)
(718) 993-3397
Entity
Organization
Contact information
Practice address
260 E 161ST ST, BRONX, NY 10451-3512
(718) 993-3397
(718) 993-2460
Mailing address
965 PEMART AVE, PEEKSKILL, NY 10566-2213
(914) 736-1079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
613757
—
NY
Enumeration date
07/14/2010
Last updated
07/14/2010
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