Doctor Name: | DINA DARCY |
NPI Number: | 1508289380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC |
License Number: | 21729 |
Business Practice Address: | 7 Seafield Ln Westhampton Beach, NY - 119782714 |
Business Phone Number: | 6312881122 |
Business Fax Number: | 6312881638 |
Mailing Address: | 7 Seafield Ln, WESTHAMPTON BEACH |
State: | NY |
Postal Code: | 119782714 |
Phone Number: | 6312881122 |
Fax Number: | 6312881638 |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 21729 |
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: |