Individual
MS. EMMA ROSE FULCINITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 554-2458
Mailing address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 554-2458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37999
NY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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