Provider Demographics
NPI:1710305891
Name:CEKIC, AMIR (BA, CASAC-T)
Entity Type:Individual
Prefix:MR
First Name:AMIR
Middle Name:
Last Name:CEKIC
Suffix:
Gender:M
Credentials:BA, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 E 2ND ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6932
Mailing Address - Country:US
Mailing Address - Phone:718-316-7378
Mailing Address - Fax:
Practice Address - Street 1:1620 E 2ND ST APT 2E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6932
Practice Address - Country:US
Practice Address - Phone:718-316-7378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28244101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)