Individual
DR. LAURAINE MARIE CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 ROCKAWAY AVENUE, SUITE 206E, HEWLETT, NY 11557-1665
(516) 593-8528
Mailing address
1800 ROCKAWAY AVENUE, SUITE 206E, HEWLETT, NY 11557-1665
(516) 593-8528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0101701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078754
GHI BMP
NY
01
—
145908
EMPIRE VALUE OPTIONS
NY
Enumeration date
04/11/2007
Last updated
07/08/2007
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