Individual provider · Type 1 NPI

Noel Root

Peer Specialist · Coram, NY

NPI number 1134043722 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Call (631) 920-8302 Map

Mailing address

1985 Marcus Ave
New Hyde Park, NY 11042-2008

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134043722

Noel Root's National Provider Identifier is 1134043722, issued on Aug 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coram, NY. The record was last updated on Aug 6, 2026.