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 | 261QM0850X | Clinic/Center | Adult Mental Health | 6868-110A | NEW YORK | No |
| 2 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | 6868003A | 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 | N3J1904091 | MEDICAID | NEW YORK | |
| 2 | 1386717460 | OTHER | NEW YORK | NPI - JANINE FIORELLO |
| 3 | 02702023 | MEDICAID | NEW YORK | |
| 4 | W04091 | OTHER | NEW YORK | MEDICARE PTAN |
| 5 | 1073535902 | OTHER | NEW YORK | NPI - VEENA KULKARNI |
| 6 | 1922169390 | OTHER | NEW YORK | NPI - HAROLD SEQUEIRA |
| 7 | N3J1904091 | MEDICARE PIN | NEW YORK | |
| 8 | 1841213618 | OTHER | NEW YORK | NPI - LES WEINBERG |
| 9 | 1720113137 | OTHER | NEW YORK | NPI - COLLEEN VATALARO |
| 10 | 1164557500 | OTHER | NEW YORK | NPI - DARYL GORELIK |
| 11 | 070491-1 | OTHER | NEW YORK | LICENSE - LISA GATTI |
| 12 | 02168532 | MEDICAID | NEW YORK | |
| 13 | 00468759 | MEDICAID | NEW YORK | |
| 14 | 1194890608 | OTHER | NEW YORK | NPI - LISA GATTI |
| 15 | W04091 | MEDICARE UPIN | NEW YORK | |
| 16 | 01494339 | MEDICAID | NEW YORK | |