Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TED BORKSTROM, CASAC
Active Sole ProprietorTED BORKSTROM, CASAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in RONKONKOMA, New York. NPI 1679868590 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · RONKONKOMA, NY
Registration Details
- NPI Number
- 1679868590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2011 (15.135200476596 yrs)
- Last Updated
- Jun 20, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 5TH STRONKONKOMA, NY, 117795346Browse NY providers · Browse ZIP 11779
- Phone
- 6314130597
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH ANN DETWILER | CASAC-T | 1538453477 |
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.