Provider Demographics
NPI:1720255136
Name:MC AREE, KEITH MICHAEL (MA; CASAC)
Entity Type:Individual
Prefix:MR
First Name:KEITH
Middle Name:MICHAEL
Last Name:MC AREE
Suffix:
Gender:M
Credentials:MA; CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:122 W 27TH ST
Mailing Address - Street 2:3RD. FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6227
Mailing Address - Country:US
Mailing Address - Phone:212-255-8980
Mailing Address - Fax:212-647-1509
Practice Address - Street 1:122 W 27TH ST
Practice Address - Street 2:3RD. FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6227
Practice Address - Country:US
Practice Address - Phone:212-255-8980
Practice Address - Fax:212-647-1509
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10429101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)