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

CARMELISA PORRETTO I

Active Sole Proprietor

CARMELISA PORRETTO I is a Behavioral Health, Residential healthcare provider located in MASSAPEQUA, New York. NPI 1952718959 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · MASSAPEQUA, NY

Registration Details

NPI Number
1952718959
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2014 (12.108016179695 yrs)
Last Updated
Jul 22, 2014
License
841455141 (NY)
Sole Proprietor
Yes

Practice Information

Address
222 N KINGS AVE
MASSAPEQUA, NY, 117583324
Browse NY providers · Browse ZIP 11758
Phone
3474064398
Primary Specialty
Behavioral Health, Residential
251C00000X
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.