Healthcare Provider Details

I. General information

NPI: 1770619546
Provider Name (Legal Business Name): HILARY S PARENTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 E MAIN ST SUITE 213
PATCHOGUE NY
11772-3121
US

IV. Provider business mailing address

PO BOX 55
HOLTSVILLE NY
11742-0055
US

V. Phone/Fax

Practice location:
  • Phone: 631-357-1460
  • Fax: 631-730-8731
Mailing address:
  • Phone: 631-312-4638
  • Fax: 631-730-8731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberRO53884
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: