person
Romaine Gordon, CASAC
Addiction (Substance Use Disorder) Counselor in Bethpage, New York
NPI 1053659292

Romaine Gordon is an Addiction (Substance Use Disorder) Counselor based in Bethpage, NY and is specialized in Addiction (Substance Use Disorder). Romaine Gordon practices in Bethpage, NY and has the professional credentials of CASAC. The NPI Number for Romaine Gordon is 1053659292 and holds a License No. 17613 (New York).

The current practice location address for Romaine Gordon is 4271 Hempstead Tpke, Bethpage, NY and can be reached out via phone at 516-520-6600 and via fax at 516-520-6750.

Location: 4271 Hempstead Tpke, Bethpage, NY, 11714-5708
person
Provider Profile Details
NPI Number
1053659292
Provider Name
Romaine Gordon
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
4271 Hempstead Tpke, Bethpage, NY, 11714-5708
Phone Number
516-520-6600
Fax Number
516-520-6750
Provider Enumeration Date
01/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17613 01 NY CERTAFIDE ALCOHOL AND SUBSTANCE COUNSELOR
institution
Provider Business Practice Location Address Details
Address
4271 Hempstead Tpke
City
State
Zip
11714-5708
Phone Number
516-520-6600
Fax Number
516-520-6750
person
Provider Business Mailing Address Details
Address
4271 Hempstead Tpke
City
State
Zip
11714-5708
Phone Number
516-520-6600
Fax Number
516-520-6750
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17613 (New York)
Definition
Definition to come...
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