Individual
NICHOLAS ELGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC - ADVANCED
Contact information
Practice address
3425 VERNON BLVD, LONG ISLAND CITY, NY 11106-5121
(212) 831-1555
Mailing address
45 ONECK LN, WESTHAMPTON BEACH, NY 11978-1907
(917) 584-1802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31798
NY
Other
Enumeration date
01/12/2016
Last updated
01/22/2021
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