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Contact Information

BRIAN CUNNINGHAM, CASAC-T
1444 5TH AVE
BAY SHORE, NY11706-4147
 Phone: 631-647-3113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRIAN CUNNINGHAM · (Male)

NPI Number 1942742952
Status Active
Credentials CASAC-T
Entity Individual
Enumeration date 11/08/2016
Last updated 11/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 31718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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