Organization · Type 2 NPI
Aspire365 New York LLC
Addiction Medicine (Preventive Medicine) Physician · New York, NY
NPI number
1154039196
Active
Practice location
26 Broadway Ste 934-C54
New York, NY 10004-1703
Fax (385) 287-1035
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1154039196
Aspire365 New York LLC's National Provider Identifier is 1154039196, issued on Nov 8, 2022. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in New York, NY. The record was last updated on Oct 14, 2024.