Provider Demographics
NPI:1740689439
Name:DUNN, DENNIS M (MS CASAC)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:M
Last Name:DUNN
Suffix:
Gender:M
Credentials:MS CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MERRICK RD. SUITE 2D
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563
Mailing Address - Country:US
Mailing Address - Phone:516-887-4848
Mailing Address - Fax:516-887-4828
Practice Address - Street 1:185 MERRICK RD
Practice Address - Street 2:SUITE 2D
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-887-4848
Practice Address - Fax:516-887-4828
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCASAC#9078101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)