Individual provider · Type 1 NPI

Alyssa Vastano

Addiction (Substance Use Disorder) Counselor · Bellport, NY

NPI number 1124919170 Active

Practice location

11 Farber Dr Ste D
Bellport, NY 11713-1500

Call (631) 286-0700 Map

Mailing address

51 Steven Pl
Coram, NY 11727-4500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124919170

Alyssa Vastano's National Provider Identifier is 1124919170, issued on Jul 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellport, NY. The record was last updated on Jul 9, 2025.