Healthcare Provider Details

I. General information

NPI: 1447229950
Provider Name (Legal Business Name): SYNERGY OF MONTICELLO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HIGH ST
MONTICELLO NY
12701-1343
US

IV. Provider business mailing address

2 HIGH ST
MONTICELLO NY
12701-1343
US

V. Phone/Fax

Practice location:
  • Phone: 845-791-8800
  • Fax: 845-791-7051
Mailing address:
  • Phone: 845-791-8800
  • Fax: 845-791-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER PANZARINO
Title or Position: OWNER
Credential: MD
Phone: 845-791-8800