Kenneth Sally, CASAC-T - Counselor in New York, NY

Kenneth Sally, CASAC-T is a Counselor - Addiction (substance Use Disorder) based in New York, New York. Kenneth Sally is licensed to practice in New York (license number 28611) and his current practice location is 55 W 125th St, 11th Floor, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 864-4128.

NPI number for Kenneth Sally is 1336532803 and his current mailing address is 55 W 125th St, 11th Floor, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336532803.

Contact Information

Kenneth Sally, CASAC-T
55 W 125th St, 11th Floor,
New York, NY 10027-4516
(212) 864-4128
(212) 662-9193

Map and Direction


Healthcare Provider's Profile

Full NameKenneth Sally
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location55 W 125th St, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336532803
  • Provider Enumeration Date: 03/09/2015
  • Last Update Date: 03/09/2015

Medical Identifiers

Medical identifiers for Kenneth Sally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336532803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 28611 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Sally is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Sally, CASAC-T
55 W 125th St, 11th Floor,
New York, NY 10027-4516

Ph: (212) 864-4128
Kenneth Sally, CASAC-T
55 W 125th St, 11th Floor,
New York, NY 10027-4516

Ph: (212) 864-4128

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