Healthcare Provider Details

I. General information

NPI: 1851407498
Provider Name (Legal Business Name): FRANCES ANN CIORRA L.M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 MIDDLEVILLE RD
NORTHPORT NY
11768-2200
US

IV. Provider business mailing address

34 OLD PORTION RD
LAKE RONKONKOMA NY
11779-3320
US

V. Phone/Fax

Practice location:
  • Phone: 631-261-4400
  • Fax:
Mailing address:
  • Phone: 631-261-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number069834-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: