Catherine Provenzano

LBN: Catherine Provenzano
Catherine Provenzano is an health care organization with primary practice located at 1050 Hallock Ave , Port Jefferson Station NY 11776-1214. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Catherine Provenzano can be contacted via phone (631) 487-5162, or through Provenzano, Catherine via phone (631) 487-5162.

Contact Information

Primary practice address
1050 Hallock Ave Port Jefferson Station NY 11776-1214
Phone: (631) 487-5162
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Provenzano, Catherine Licensed Clinical Social Worker (LCSW)
Phone: (631) 487-5162

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 081438 New York

Profile Details

NPI number 1669875936
LBN Legal business name Catherine Provenzano
DBA Doing business as
Authorized official Provenzano, Catherine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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