Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 019289-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 019289-1 | NY |
N | 103TH0004X | Health Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1396079232 |
---|---|
Provider Name | Dr. Gabrielle Rosina Chiaramonte |
First Address | Northport, NY 11768-2241 |
Second Address | Northport, NY 11768-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2009 |
Last Update Date | 15/01/2021 |