Organization
CAMELOT OF STATEN ISLAND, INC.
Active
Other names
Camelot Counseling Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE J. NASTA MPA, CASAC (EXECUTIVE DIRECTOR)
(718) 356-5100
Entity
Organization
Contact information
Practice address
263 PORT RICHMOND AVENUE, STATEN ISLAND, NY 10302
(718) 981-8117
(718) 981-8309
Mailing address
4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY 10309-1321
(718) 356-5100
(718) 981-8309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292768
—
NY
Enumeration date
01/10/2007
Last updated
08/22/2020
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