Organization Name: | NICHOLAS AIELLO PHD PSYCHOLOGIST PLLC |
NPI Number: | 1326325184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS AIELLO (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 649 Rte. 25a Suite #5 Rocky Point |
State: | NY US |
Postal Code: | 11778 |
Phone Number: | 6317443800 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 009476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |