NPI 1245662295 MRS. RISA PETRUCCI M.A. EAST NORTHPORT NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Risa Petrucci - NPI: 1245662295

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. RISA PETRUCCI
NPI Number: 1245662295
Entity Type Code: Individual (1)
Gender: F
Credentials: M.A.
License Number: 670572121
Business Practice Address: 99 Hollywood Dr
Smithtown, NY - 117873135
Business Phone Number: 6313662982
Business Fax Number:
Mailing Address: 44 Upland Dr,
EAST NORTHPORT
State: NY
Postal Code: 117311425
Phone Number: 6317578964
Fax Number:
NPI Enumeration Date: 08/01/2013
NPI Last Update Date: 08/01/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 670572121
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NY
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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