Nicole Intervallo, CASAC - Counselor in Yonkers, NY

Nicole Intervallo, CASAC is a Counselor - Addiction (substance Use Disorder) based in Yonkers, New York. Nicole Intervallo is licensed to practice in * (Not Available) (license number ) and her current practice location is 2176 Central Park Ave, Yonkers, New York. She can be reached at her office (for appointments etc.) via phone at (914) 619-5242.

NPI number for Nicole Intervallo is 1104393289 and her current mailing address is Po Box 356, Yonkers, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104393289.

Contact Information

Nicole Intervallo, CASAC
2176 Central Park Ave,
Yonkers, NY 10710-1826
(914) 619-5242
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNicole Intervallo
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2176 Central Park Ave, Yonkers, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104393289
  • Provider Enumeration Date: 10/27/2018
  • Last Update Date: 11/08/2020

Medical Identifiers

Medical identifiers for Nicole Intervallo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104393289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Intervallo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Intervallo, CASAC
Po Box 356,
Yonkers, NY 10710-0356

Ph: () -
Nicole Intervallo, CASAC
2176 Central Park Ave,
Yonkers, NY 10710-1826

Ph: (914) 619-5242

Reviews and Comments


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