Organization · Type 2 NPI

Young Men's Christian Association of Greater New York

Substance Use Disorder Rehabilitation Clinic/Center · Staten Island, NY

NPI number 1013083476 Active

Practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Call (718) 948-3232 Map

Fax (718) 966-6605

Other practice locations

285 Vanderbilt Ave, Staten Island, NY 10304-2525 · (718) 981-4382

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	091111111 (NY)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1013083476
Entity type: Organization (Type 2)
Issued: Nov 28, 2006
Last updated: Sep 25, 2026
Status: Active

Other names

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Staten Island Ymca Counseling Service · other name
Staten Island Ymca Counseling Service Branch · other name

Authorized official

Jacqueline Filis, LCSW, CASAC
Executive Director
(718) 948-3232

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013083476

Young Men's Christian Association of Greater New York's National Provider Identifier is 1013083476, issued on Nov 28, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Staten Island, NY. The record was last updated on Sep 25, 2026.