Individual
MICHAEL JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 521-8400
Mailing address
29 OCEAN AVE APT 3, ISLIP, NY 11751-3814
(516) 557-3150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37470
NY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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