Individual
PETER CERAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 HIGH ST, NORWALK, CT 06851-4723
(203) 803-4170
Mailing address
1 NORD CIR, OSSINING, NY 10562-4005
(914) 648-8953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46.005272-ASOC
CT
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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