Healthcare Provider Details

I. General information

NPI: 1912144163
Provider Name (Legal Business Name): CONCETTA MARIA TOMAINO DA, MT-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WARTBURG PL
MOUNT VERNON NY
10552-3821
US

IV. Provider business mailing address

1 WARTBURG PL
MOUNT VERNON NY
10552-3821
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number000549
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: