Joelle Maria Cimino
Individual provider Active NPI Specialist · Wading River, NY
NPI 1922736628 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1922736628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 299 Hidden Acres Path
Wading River, NY 11792-2223 - Phone
- (631) 307-8360
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NY | ||
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
299 Hidden Acres Path
Wading River, NY 11792-2223
Mailing address
299 Hidden Acres Path
Wading River, NY 11792-2223
Phone (631) 307-8360
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Aol |
Other providers in Wading River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. 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.