Whalio Doctors

NPI 1013035963

Frank Peter Tavella, CRC

Practitioner Mental Health Counselor Jamaica, NY

Practice location

Address
91-01 Merrick Blvd, Jamaica, NY 11432
Phone
(718) 523-4242
Fax
(718) 523-5520
Mailing address
235 Hamilton Ave, Massapequa, NY 11758-4007

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 003168-1 (NY)

Registry record

NPI
1013035963
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Mar 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.