Healthcare Provider Details

I. General information

NPI: 1245163476
Provider Name (Legal Business Name): DAWN INSANALLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 MAMARONECK AVE
MAMARONECK NY
10543-1662
US

IV. Provider business mailing address

933 MAMARONECK AVE
MAMARONECK NY
10543-1662
US

V. Phone/Fax

Practice location:
  • Phone: 203-717-1036
  • Fax:
Mailing address:
  • Phone: 203-717-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3881
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: