Healthcare Provider Details

I. General information

NPI: 1528423514
Provider Name (Legal Business Name): NORTHEAST CREATIVE ARTS THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2015
Last Update Date: 05/15/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE WARTBURG PLACE
MOUNT VERNON NY
10552
US

IV. Provider business mailing address

ONE WARTBURG PLACE
MOUNT VERNON NY
10552
US

V. Phone/Fax

Practice location:
  • Phone: 914-513-5292
  • Fax: 718-519-4240
Mailing address:
  • Phone: 914-513-5292
  • Fax: 718-519-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CONCETTA M TOMAINO
Title or Position: EXECUTIVE DIRECTOR
Credential: DA LCAT
Phone: 914-513-5292