Provider Demographics
NPI:1194940221
Name:APOSTOLI, MICHAEL J (CRC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:APOSTOLI
Suffix:
Gender:M
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E HILL DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2064
Mailing Address - Country:US
Mailing Address - Phone:631-979-6635
Mailing Address - Fax:631-979-0456
Practice Address - Street 1:60 E HILL DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2064
Practice Address - Country:US
Practice Address - Phone:631-979-6635
Practice Address - Fax:631-979-0456
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00005501101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor