Nicole Buttafuoco
Individual provider Active NPI Mental Health Counselor · Atlantic Beach, NY
NPI 1114398963 · NPPES record last updated Oct 19, 2015
Key facts
- NPI
- 1114398963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 49 Daytona St
Atlantic Beach, NY 11509-1029 - Phone
- (516) 860-4854
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
49 Daytona St
Atlantic Beach, NY 11509-1029
Mailing address
49 Daytona St
Atlantic Beach, NY 11509-1029
Phone (516) 860-4854
Other providers in Atlantic Beach, NY
- Ariel Pessy Blitstein
- Helen Bloomer
- Yvette Bonilla
- Jerome Henry Brander
- Lisa Marie Butera-Sgouros
- Lisa Beth Cohen
- Jo Ann Dattilo Trabouls
- Brocha Feinberg
- Joseph Franca
- Dolores Enid Friedel
All providers in Atlantic Beach, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.