Individual
MRS. ELIZABETH S SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
450 WAVERLY AVE, PATCHOGUE, NY 11772-1555
(631) 363-2001
(631) 363-2017
Mailing address
450 WAVERLY AVE, PATCHOGUE, NY 11772-1555
(631) 363-2001
(631) 363-2017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8125
NY
Other
Enumeration date
01/29/2009
Last updated
04/01/2011
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