person
Martin Irving Colavito, CASAC
Addiction (Substance Use Disorder) Counselor in Port Jervis, New York
NPI 1487801650

Martin Irving Colavito is an Addiction (Substance Use Disorder) Counselor based in Port Jervis, NY and is specialized in Addiction (Substance Use Disorder). Martin Irving Colavito practices in Port Jervis, NY and has the professional credentials of CASAC. The NPI Number for Martin Irving Colavito is 1487801650 and holds a License No. 7929 (New York).

The current practice location address for Martin Irving Colavito is 17-19 Sussex Street, Port Jervis, NY and can be reached out via phone at 845-856-6344 and via fax at 845-856-4091.

Location: 17-19 Sussex Street, Port Jervis, NY, 12771-2430
person
Provider Profile Details
NPI Number
1487801650
Provider Name
Martin Irving Colavito
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
17-19 Sussex Street, Port Jervis, NY, 12771-2430
Phone Number
845-856-6344
Fax Number
845-856-4091
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17-19 Sussex Street
City
State
Zip
12771-2430
Phone Number
845-856-6344
Fax Number
845-856-4091
person
Provider Business Mailing Address Details
Address
17-19 Sussex Street
City
State
Zip
12771-2430
Phone Number
845-856-6344
Fax Number
845-856-4091
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7929 (New York)
Definition
Definition to come...
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