Healthcare Provider Details

I. General information

NPI: 1346474590
Provider Name (Legal Business Name): PATRICIA CIPRIANI M.S. SPED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA BOWLES

II. Dates (important events)

Enumeration Date: 05/03/2009
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66-67 79 PLACE 1ST FL.
MIDDLE VILLAGE NY
11379
US

IV. Provider business mailing address

66-67 79 PLACE 1ST FL.
MIDDLE VILLAGE NY
11379
US

V. Phone/Fax

Practice location:
  • Phone: 347-721-8325
  • Fax:
Mailing address:
  • Phone: 347-721-8325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: