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NPI Code Detail

MEDICARE: MR. YASSER M ALY LCSWR, CASAC

MEDICARE: MR. YASSER M ALY LCSWR, 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) Counselor12060NY
21041C0700XClinical Social Worker069564NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265585293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YASSER M ALY LCSWR, CASAC
Provider Business Mailing Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-437-5570
Fax Number :
Provider Business Practice Location Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-437-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2007
Last Update Date : 03/17/2018

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