| Mr Liberato Derosa, CASAC | |
|
2075 New York Ave, Huntington Station, NY 11746-3238 | |
| (631) 351-7112 | |
| Not Available |
| Full Name | Mr Liberato Derosa |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2075 New York Ave, Huntington Station, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9207 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Liberato Derosa, CASAC 2226 1st Ave, Ronkonkoma, NY 11779-6239 Ph: (631) 445-5373 | Mr Liberato Derosa, CASAC 2075 New York Ave, Huntington Station, NY 11746-3238 Ph: (631) 351-7112 |
Allison Ricciardi, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 E 16th St, Huntington Station, NY 11746 Phone: 631-923-2777 Fax: 631-923-2777 | |
Mr. Thomas S. Figueroa Sr., CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2075 New York Ave, Huntington Station, NY 11746 Phone: 631-351-7112 | |
Julia Thornell, CASAC T Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Rogues Path, Huntington Station, NY 11746 Phone: 631-327-4530 | |
Tuesday N Gundersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2075 New York Ave, Huntington Station, NY 11746 Phone: 631-351-7112 | |
Katherine Lutz, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2075 New York Ave, Huntington Station, NY 11746 Phone: 631-351-7112 Fax: 631-351-0862 | |
Jennifer Montufar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2075 New York Ave, Huntington Station, NY 11746 Phone: 631-351-7112 Fax: 631-351-0862 | |
Ms. Joan Elgort, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E 22nd St, Huntington Station, NY 11746 Phone: 631-549-2067 |