Pederson Krag

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

086683 Issued in NY

Legal business name

PEDERSON KRAG

Practice address

3600 Route 112
Coram, NY 11727-4116

Phone

(631) 853-8511

NPI assigned

Sep 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Savino

Title

Social Worker

Phone

(631) 853-8511

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1952736076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROMITO CT",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 112",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274116",
            "telephone_number": "631-853-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSON KRAG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "SAVINO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "631-853-8511"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "086683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Palmieri
• Brian Henry Parsley, L.P.N
• Paul J Botticelli LCSW PC
• Susanna R. Paulay, LCSW
• Peconic Speech Services, P.C.
• Julia Starr Pellettieri
• Bernice Pena
• Catherine J Penaloza
• Photina Faye Penn, PHYSICAL THERAPIST
• Jillian Alexa Rae Peralta, LPN

• Community/Behavioral Health Agency in Coram, NY
• Providers in Coram, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.