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NPI Code Detail

MEDICARE: MR. JAMES DEMPSEY CASAC

MEDICARE: MR. JAMES DEMPSEY 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) Counselor18313NY

General Provider Information

NPI Number : 1558720375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES DEMPSEY CASAC
Provider Business Mailing Address
First Line : 1149 SULLIVAN ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-1670
Country : US
Telephone Number : 607-733-7661
Fax Number : 607-733-7675
Provider Business Practice Location Address
First Line : 1149 SULLIVAN ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-1670
Country : US
Telephone Number : 607-733-7661
Fax Number : 607-733-7675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2016
Last Update Date : 02/22/2016

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