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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CORIEN BOLOGNA, LCAT, ATR-BC

Active Sole Proprietor

MRS. CORIEN BOLOGNA, LCAT, ATR-BC is a Art Therapist healthcare provider located in PORT JEFFERSON, New York. NPI 1750128906 is currently active in the NPPES registry. Verify at CMS.

Art Therapist · PORT JEFFERSON, NY

Registration Details

NPI Number
1750128906
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2024 (2.1287653072015 yrs)
Last Updated
Aug 3, 2024
Licenses
2936702 (NY)
001744-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
1000 MAIN ST
PORT JEFFERSON, NY, 117772250
Browse NY providers · Browse ZIP 11777
Phone
6316829507
Primary Specialty
Art Therapist
221700000X
Additional Specialty
Art Therapist
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.