| Doctor Name: | MS. PAMELA S. TRIFARO |
| NPI Number: | 1053626960 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R |
| License Number: | 081552 |
| Business Practice Address: | 363 Route 111 Suite 103 Smithtown, NY - 117874756 |
| Business Phone Number: | 6318344724 |
| Business Fax Number: | |
| Mailing Address: | Po Box 529, BELLPORT |
| State: | NY |
| Postal Code: | 117130529 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2010 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 081552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |