Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN IRVING COLAVITO, CASAC
ActiveAddiction (Substance Use Disorder) Counselor · PORT JERVIS, NY
Registration Details
- NPI Number
- 1487801650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2008 (17.674375229481 yrs)
- Last Updated
- Aug 19, 2008
- License
-
7929 (NY)
Practice Information
- Address
-
17-19 SUSSEX STREETPORT JERVIS, NY, 127712430Browse NY providers · Browse ZIP 12771
- Phone
- 8458566344
- Fax
- 8458564091
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PORT JERVIS, NY
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN FRANCES ESCHENBERT | CASAC | 1952615668 |
| PATRICIA BERNADETTE DUNN | CASAC-T | 1194025965 |
| MARIE JADOS STANISH | LMSW | 1548567712 |
| JESSICA LYKO | — | 1407256365 |
| GEORGE RUMSEY | CASAC-T | 1114389095 |
| MR. YASU CABALLERO | NYS CASAC | 1427409119 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.