| Doctor Name: | MR. NICHOLAS AIELLO |
| NPI Number: | 1336250539 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 009476 |
| Business Practice Address: | 565 Route 25a Suite 204a Miller Place, NY - 11764 |
| Business Phone Number: | 6317443800 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5204, ROCKY POINT |
| State: | NY |
| Postal Code: | 11778 |
| Phone Number: | 6317443800 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| 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: | |