Individual
JEFFREY WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1688 VICTORY BLVD, STATEN ISLAND, NY 10314-3547
(718) 477-5700
Mailing address
1688 VICTORY BLVD, STATEN ISLAND, NY 10314-3547
(718) 477-5700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32291
CASAC-T
NY
Enumeration date
08/24/2016
Last updated
08/24/2016
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