| Organization Name: | MICHAEL CHIARELLO NP PSYCHIATRY PC |
| NPI Number: | 1205157518 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONI SCOLLO (MANAGER) |
| Mailing Address: | 140 Belle Mead Rd Suite A Setauket |
| State: | NY US |
| Postal Code: | 117336400 |
| Phone Number: | 6316895390 |
| Fax Number: | 6316895395 |
| NPI Enumeration Date: | 06/21/2010 |
| NPI Last Update Date: | 06/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | F400066-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |