Individual
LORRAINE PACIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75-59 253TH STREET, GLEN OAKS, NY 11004
(516) 562-0100
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 765-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
306514
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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