Individual
MR. JOSEPH OLMEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
281 PHELPS LANE - ANNEX BUILDING, DRUG & ALCOHOL SERVICES, NORTH BABYLON, NY 11703-4005
(631) 422-7676
(631) 422-7609
Mailing address
281 PHELPS LANE - ANNEX BUILDING, DRUG & ALCOHOL SERVICES, NORTH BABYLON, NY 11703-4005
(631) 422-7676
(631) 422-7609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36063
NY
Other
Enumeration date
10/16/2019
Last updated
11/27/2023
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