Doctor Name: | MS. LEAH IRENE CRESSOTTI |
NPI Number: | 1396046744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,CS,APRN |
License Number: | 001222 |
Business Practice Address: | 100 Bilton Rd Somers, CT - 060711059 |
Business Phone Number: | 8608144683 |
Business Fax Number: | 8608144796 |
Mailing Address: | 100 Bilton Rd., SOMERS |
State: | CT |
Postal Code: | 06071 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/16/2010 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 001222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |