Individual
KELLI SORANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1380 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 369-0022
Mailing address
565 ROUTE 25A STE 202, MILLER PLACE, NY 11764-2665
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002464
NY
Other
Enumeration date
12/06/2017
Last updated
12/22/2025
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