Individual
MRS. EILEEN P TRAFICANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTMS, C/NDT
Contact information
Practice address
641 OLD ROUTE 17, MONTICELLO, NY 12701-7014
(845) 794-1400
Mailing address
641 OLD ROUTE 17, MONTICELLO, NY 12701-7014
(845) 794-1400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
003978-1
NY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
06/20/2012
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