SILVER LAKE SUPPORT SERVICES INC NPI 1336363530

NPI Information

NPI: 1336363530
Provider Name: SILVER LAKE SUPPORT SERVICES, INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
201 FOREST AVE
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 815-3155
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SILVER LAKE SUPPORT SERVICES, INC is an addiction (substance use disorder) counselor in Staten Island, NY. SILVER LAKE SUPPORT SERVICES, INC NPI is 1336363530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 FOREST AVE
STATEN ISLAND, NY
ZIP 10301-763
Phone: (718) 815-3155
Fax: (718) 815-3151

The provider's authorized official is Avraham Schick .
The authorized official title is Executive Director and has the following contact phone number (718) 720-9600.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 6/17/2010.

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)	061110987	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	02097574	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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