ALEXANDRA GINA CASSONDRA MARINI CASAC 2 NPI 1194280982

NPI Information

NPI: 1194280982
Provider Name: ALEXANDRA GINA, CASSONDRA MARINI, CASAC 2
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
319 E WATER ST
SYRACUSE, NY
ZIP 13202
Phone: (315) 475-1771
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Alexandra Gina, Cassondra Marini, CASAC 2 is an addiction (substance use disorder) counselor in Syracuse, NY. Alexandra Gina, Cassondra Marini, CASAC 2 NPI is 1194280982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

319 E WATER ST
SYRACUSE, NY
ZIP 13202-123
Phone: (315) 475-1771

The enumeration date for this NPI number is 2/5/2019 and was last updated on 2/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	32336	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	271578278	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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