Individual
DR. CARMELA R CANCELLIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 STONE PL, SUITE 302, BRONXVILLE, NY 10708-3426
(914) 337-0754
(914) 337-6493
Mailing address
142 DRISLER AVE, WHITE PLAINS, NY 10607-2402
(914) 324-2372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
141942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901455
—
NY
01
—
0099878
GHI (GROUP HEALTH INS)
NY
01
—
73289510
VALUE OPTIONS
—
Enumeration date
02/05/2007
Last updated
07/08/2007
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