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Mr. Liberato Derosa, CASAC
Addiction (Substance Use Disorder) Counselor in Huntington Station, New York
NPI 1720290323

Liberato Derosa is an Addiction (Substance Use Disorder) Counselor based in Ronkonkoma, NY and is specialized in Addiction (Substance Use Disorder). Liberato Derosa practices in Huntington Station, NY and has the professional credentials of CASAC. The NPI Number for Liberato Derosa is 1720290323 and holds a License No. 9207 (New York).

The current practice location address for Liberato Derosa is 2075 New York Ave, Huntington Station, NY and can be reached out via phone at 631-351-7112.

Location: 2075 New York Ave, Huntington Station, NY, 11779-6239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720290323
Provider Name
Liberato Derosa
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
2075 New York Ave, Huntington Station, NY, 11779-6239
Phone Number
631-351-7112
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2075 New York Ave
City
Huntington Station
State
New York
Zip
11746-3238
Phone Number
631-351-7112
Fax Number
person
Provider Business Mailing Address Details
Address
2075 New York Ave
City
Huntington Station
State
New York
Zip
11746-3238
Phone Number
631-351-7112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
9207 (New York)
Definition
Definition to come...
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