Doctor Name: | VLAD NOVET |
NPI Number: | 1215215975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W.,C.A.S.A.C. |
License Number: | 078493 |
Business Practice Address: | 7600 Shore Front Pkwy Apt.# 3m Arverne, NY - 116921258 |
Business Phone Number: | 9178733769 |
Business Fax Number: | |
Mailing Address: | 7600 Shore Front Pkwy, Apt.# 3m ARVERNE |
State: | NY |
Postal Code: | 116921258 |
Phone Number: | 9178733769 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2011 |
NPI Last Update Date: | 07/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 078493 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |