MR. MATTHEW RICHARD PULIATTI


Address: 1688 Victory Boulevard, Staten Island, NY 10314
Phone: 7188154111

MR. MATTHEW RICHARD PULIATTI (NPI# 1871154633) 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) 1871154633
Entity Type Individual
Full Name MR. MATTHEW RICHARD PULIATTI
Credential LMHC
Practice Address 1688 Victory Boulevard
Staten Island
NY 10314
Mailing Address 1688 Victory Blvd
Staten Island
NY 10314-3547
Practice Telephone 7188154111
Enumeration Date 2019-06-24
Last Update Date 2019-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
008927 NY Behavioral Health & Social Service Providers

Office Location

Street Address 1688 VICTORY BOULEVARD
City STATEN ISLAND
State NY
Zip Code 10314

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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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Competitor

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City STATEN ISLAND
Zip Code 10314

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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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