AMALIA ROSE SIRICA


Address: 188 Woodbine Ave, Northport, NY 11768-2819
Phone: 6317489811

AMALIA ROSE SIRICA (NPI# 1619485323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619485323
Entity Type Individual
Full Name AMALIA ROSE SIRICA
Credential LCSW
Practice Address 188 Woodbine Ave
Northport
NY 11768-2819
Practice Telephone 6317489811
Mailing Telephone 6317489811
Enumeration Date 2018-01-16
Last Update Date 2018-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
086492 NY Behavioral Health & Social Service Providers

Office Location

Street Address 188 WOODBINE AVE
City NORTHPORT
State NY
Zip Code 11768-2819

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1679938252 Debra Marie Failla Psychologist 260 Main Street, Suite 202, Northport, NY 11768 2015-12-23
1649649096 Lillian Patricia Fais Specialist 26 Josephine Lane, Fort Salonga, NY 11768 2015-09-16
1427349505 Kathleen Ann Korwasky Occupational Therapist 18 Dick Court, Northport, NY 11768 2011-04-25
1043448822 Gianna Rose Ferranti Dentist 19 Winkle Point Road, Northport, NY 11768 2009-06-30
1861658213 Barbara Ann Hansen Registered Nurse 78 Eatons Neck Rd, Northport, NY 11768 2008-08-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1073175428 Lisa Danielle Hamada Counselor 15 Vista Dr, Northport, NY 11768-1923 2019-07-06
1578820114 Crystal Deanna Redd Counselor 2611 Lily Way, Northport, AL 35473-1775 2012-04-20
1740569003 Meredith Grace Morgan Counselor 1295 Atlantic Hwy, Northport, ME 04849-3600 2011-08-04
1740474816 Takesha Monique Shannon Counselor 700 Energy Center Blvd, Suite 407, Northport, AL 35473-5827 2007-08-31
1720297617 Dora Lupo Counselor 9 Blydenburgh Ct, Northport, NY 11768-2858 2007-05-21
1215152384 Kim H Rodriguez Counselor 21 Turnip Hl, Northport, NY 11768-1650 2007-04-16
1871622696 John B. Westervelt Counselor 40 Mar Kan Dr, Northport, NY 11768-1858 2007-03-05
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Competitor

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City NORTHPORT
Zip Code 11768

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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