Provider Demographics
NPI:1811226004
Name:SNEAD, LLOYD DONALD (CASAC #21115)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:DONALD
Last Name:SNEAD
Suffix:
Gender:M
Credentials:CASAC #21115
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 BROADWAY,
Mailing Address - Street 2:2ND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018
Mailing Address - Country:US
Mailing Address - Phone:212-268-8830
Mailing Address - Fax:212-947-2424
Practice Address - Street 1:1369 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7215
Practice Address - Country:US
Practice Address - Phone:212-268-8830
Practice Address - Fax:212-947-2424
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCASAC 21115101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)