NPI 1255862462

Carrie Imperato, LMT

Practitioner Prevention Professional Southold, NY

Practice location

Address: 53345 Main Rd, Southold, NY 11971-4643
Phone: (631) 765-2100
Mailing address: PO Box 523, Southold, NY 11971-0523

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 022202 (NY)

Other Prevention Professional providers in New York →

Registry record

NPI: 1255862462
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

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.