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

Ted Borkstrom, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679868590

Ted Borkstrom, CASAC is an Addiction (Substance Use Disorder) Counselor in Ronkonkoma, New York. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

44 5th St
Ronkonkoma, NY 11779-5346
Phone: (631) 413-0597
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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

Record details

NPI number1679868590
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESJune 20, 2011
Mailing address44 5th St, Ronkonkoma, NY 11779-5346

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