Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Town of Islip

Organization Addiction (Substance Use Disorder) Counselor · NPI 1215029004

Town of Islip is an Addiction (Substance Use Disorder) Counselor in Brentwood, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

452 Suffolk Ave
Brentwood, NY 11717
Phone: (631) 436-6065
Fax: (631) 436-6068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 080611082 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 091111083 (NY)

Record details

NPI number1215029004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delores Bocklet — Director · (631) 224-5330
Other names Acceso
NPI enumeratedSeptember 29, 2006
Last updated in NPPESSeptember 23, 2008
Mailing address452 Suffolk Ave, Brentwood, NY 11717

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