Individual provider · Type 1 NPI
Eileen Mary Dimarzo, CRC
Addiction (Substance Use Disorder) Counselor · Hauppauge, NY
NPI number
1740447135
Active
Practice location
Suffolk County Department Of Health Services, Blg 16 North County Complex Day Reporting Center
Hauppauge, NY 11788
Fax (631) 853-6254
Mailing address
PO Box 6100 Suffolk County Dept. Health, Blg 16 North County Complex Day Reporting Center
Hauppauge, NY 11788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C-042354 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740447135
Eileen Mary Dimarzo, CRC's National Provider Identifier is 1740447135, issued on May 22, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hauppauge, NY. The record was last updated on May 22, 2008.