Doctor Name: | VERONICA KLIMEK |
NPI Number: | 1023414307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC-T |
License Number: | 30670 |
Business Practice Address: | 155 Indian Head Rd Commack, NY - 117252212 |
Business Phone Number: | 6317233362 |
Business Fax Number: | |
Mailing Address: | 165 Patchogue Yaphank Rd, YAPHANK |
State: | NY |
Postal Code: | 119809626 |
Phone Number: | 6316420170 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 30670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |