Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. EILEEN P TRAFICANTE, PTMS, C/NDT
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · MONTICELLO, NY
Registration Details
- NPI Number
- 1689943169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2011 (14.311454641383 yrs)
- Last Updated
- Jun 20, 2012
- License
-
003978-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
641 OLD ROUTE 17MONTICELLO, NY, 127017014Browse NY providers · Browse ZIP 12701
- Phone
- 8457941400
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.