Individual
EDWARD SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP-MHC
Contact information
Practice address
10 APPEL DR E, SHIRLEY, NY 11967-3604
(516) 474-7560
Mailing address
TOWN OF BABYLON DIVISION OF DRUG AND ALCOHOL, 281 PHELPS LANE, N BABYLON, NY 11703
(631) 422-7676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053517
LPMHC
NY
Enumeration date
02/18/2020
Last updated
11/27/2023
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