Healthcare Provider Details
I. General information
NPI: 1023581360
Provider Name (Legal Business Name): AARON P ZITOUNI CASAC T
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/09/2019
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
259 N MIDDLETOWN RD # 2
NANUET NY
10954-1220
US
IV. Provider business mailing address
623 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553-8003
US
V. Phone/Fax
- Phone: 845-276-3622
- Fax:
- Phone: 845-269-0636
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 31384 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 102000-01 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: