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

Mr. Manuel I Ulloa, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720206634

Mr. Manuel I Ulloa, CASAC is an Addiction (Substance Use Disorder) Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

1727 Amsterdam Ave
New York, NY 10031-4611
Phone: (212) 694-9200
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 12905 (NY)

Record details

NPI number1720206634
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESNovember 5, 2007

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