Healthcare Provider Details

I. General information

NPI: 1578302279
Provider Name (Legal Business Name): SAIGE TOMEY CASAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

493 NOSTRAND AVE
BROOKLYN NY
11216-5117
US

IV. Provider business mailing address

493 NOSTRAND AVE
BROOKLYN NY
11216-5117
US

V. Phone/Fax

Practice location:
  • Phone: 718-230-1379
  • Fax: 718-638-1628
Mailing address:
  • Phone: 718-230-1379
  • Fax: 718-638-1628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCASAC-41645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: