Provider Demographics
NPI:1154212587
Name:BRESLIN, ANDREW ZOTOS (LMSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:ZOTOS
Last Name:BRESLIN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 KINGS WALK
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-9328
Mailing Address - Country:US
Mailing Address - Phone:631-902-4776
Mailing Address - Fax:
Practice Address - Street 1:2233 NESCONSET HWY STE 100
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1000
Practice Address - Country:US
Practice Address - Phone:631-602-7856
Practice Address - Fax:631-602-7857
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126739104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker