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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417243353

Mr. Larry Thomas Donaldson, CASAC is an Addiction (Substance Use Disorder) Counselor in Farmingville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

129 Ridgewood Ave
Farmingville, NY 11738-1618
Phone: (631) 772-8547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18414 (NY)

Record details

NPI number1417243353
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESJune 20, 2011

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