Provider Demographics
NPI:1003358623
Name:D'ORAZIO, ANTOINETTE (LMHC, CASAC)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:D'ORAZIO
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1923
Mailing Address - Country:US
Mailing Address - Phone:914-523-5765
Mailing Address - Fax:
Practice Address - Street 1:128 MERCER AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1923
Practice Address - Country:US
Practice Address - Phone:914-523-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28182101YA0400X
NY005899-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)