Mary Eileen Canzoneri, MA LMFT
Individual provider Active NPI Marriage & Family Therapist · Franklin Square, NY
NPI 1962732024 · NPPES record last updated Jan 12, 2010
Key facts
- NPI
- 1962732024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000778 (NY)
- Practice address
- 248 Scherer Blvd
Franklin Square, NY 11010-1337 - Phone
- (516) 833-6222
- NPI assigned
- Jan 12, 2010
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000778 | NY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000778 | NY | Yes |
Addresses
Primary practice location
248 Scherer Blvd
Franklin Square, NY 11010-1337
Mailing address
248 Scherer Blvd
Franklin Square, NY 11010-1337
Phone (516) 833-6222
Other providers in Franklin Square, NY
- Daniel C Camillery
- Maria Campagna Cinnamo
- Jillian L. Campbell
- Kiara Marie Campoverde
- Fernanda Cantor
- Jenna Carbonara
- Naelyn Del Carmen Carrasco
- Paloma S Carrillo-Islas
- Cas Medical Transport LLC
- Luis F Casas
All providers in Franklin Square, NY · Marriage & Family Therapist 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 Jan 12, 2010. 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.