Petrungaro, Tara Jean
Petrungaro, Tara Jean is an sole proprietor health care provider with primary practice located at 181 Lorenzo Cir , Lake Ronkonkoma NY 11779-2279. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petrungaro, Tara Jean can be contacted via phone (631) 708-9309.Contact Information
Primary practice address
181 Lorenzo Cir
Lake Ronkonkoma NY 11779-2279
Phone: (631) 708-9309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 075742-1 | New York |
Profile Details
| NPI number | 1083134605 |
|---|---|
| LBN Legal business name | Petrungaro, Tara Jean |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2017 |
| Last updated | Sep 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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