Pullano, Kathleen B

Pullano, Kathleen B is an individual health care provider with primary practice located at 31 Thurber Dr , Waterloo NY 13165-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pullano, Kathleen B can be contacted via phone (315) 539-1980.

Contact Information

Primary practice address
31 Thurber Dr Waterloo NY 13165-1600
Fax: (315) 539-1054
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 055295 New York

Profile Details

NPI number 1578573523
LBN Legal business name Pullano, Kathleen B
Credentials LCSW-R, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578573523 NPPES
New York MEDICAID 055295

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