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NPI Code Detail

MEDICARE: MS. VERONICA SUTTON SUTTON CASAC

MEDICARE: MS. VERONICA SUTTON SUTTON CASAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor18041NY

General Provider Information

NPI Number : 1073787479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VERONICA SUTTON SUTTON CASAC
Provider Business Mailing Address
First Line : 514 WILLIAMS AVE APT
Second Line : 3A
City : BROOKLYN
State : NY
Zip : 11207-5114
Country : US
Telephone Number : 718-342-3939
Fax Number :
Provider Business Practice Location Address
First Line : 810 CLASSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-6102
Country : US
Telephone Number : 718-230-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 04/16/2008

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Practice Location Address:
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1144494808 — MR. EDWARD J WILLIAMS LMSW
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1649444043 — MS. GIZELLA ESTHER ENGEL LCSW
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1366770877 — MS. ELLEN FRIEDMAN CASAC
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