Provider Demographics
NPI:1992971451
Name:ONEILL, CARZEI (CASAC)
Entity type:Individual
Prefix:MISS
First Name:CARZEI
Middle Name:
Last Name:ONEILL
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:CARZEI
Other - Middle Name:
Other - Last Name:ONEILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CASAC
Mailing Address - Street 1:511 LINCOLN PL APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6224
Mailing Address - Country:US
Mailing Address - Phone:347-409-2797
Mailing Address - Fax:
Practice Address - Street 1:511 LINCOLN PL APT 2E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6224
Practice Address - Country:US
Practice Address - Phone:347-409-2797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11475101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11475OtherCASAC