KRISTINA DELUCCIA NPI 1568889368

NPI Information

NPI: 1568889368
Provider Name: KRISTINA DELUCCIA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
64 ORIOLE ST
PEARL RIVER, NY
ZIP 10965
Phone: (134) 773-3629
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Kristina Deluccia is a mental health counselor in Pearl River, NY. Kristina Deluccia NPI is 1568889368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

64 ORIOLE ST
PEARL RIVER, NY
ZIP 10965-712
Phone: (134) 773-3629

The enumeration date for this NPI number is 3/19/2014 and was last updated on 7/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	012681	NEW YORK	No
2	101YM0800X	Counselor	Mental Health		NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	225C00000X	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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