KEITH SCOTT

SMITHTOWN, NY
NPI1134675051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  30879)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- KEITH SCOTT CASAC-T
11 ROUTE 111
SMITHTOWN, NY 11787-3754
Phone number: 631-920-8609
Mailing Address
-- KEITH SCOTT CASAC-T
2 BLUFF ROAD
SAINT JAMES, NY 11780
Phone number: 631-880-2444