Individual provider · Type 1 NPI

Matthew Lundy, CASAC-T

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1730550443 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Fax (718) 882-1426

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X31531 (NY)

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

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About NPI 1730550443

Matthew Lundy, CASAC-T's National Provider Identifier is 1730550443, issued on Oct 8, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 28, 2017.