Individual
MARIE P MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
Mailing address
6 LARK DR, CENTEREACH, NY 11720-1507
(631) 543-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16882
CASAC
NY
Enumeration date
12/11/2007
Last updated
12/11/2007
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