NPI 1114502028

Ilene Hope Malefatto

Practitioner Technician Melville, NY

Practice location

Address: 225 Broadhollow Rd STE 402, Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
Mailing address: 16 Sparton Ln, Commack, NY 11725-1317

Registered specialties (2)

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

Other Technician providers in New York →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1114502028
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2021
Record last updated: 11 Mar 2021

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.