Healthcare Provider Details

I. General information

NPI: 1972978120
Provider Name (Legal Business Name): RITA SAETTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 HIGHVIEW DR
SALISBURY MILLS NY
12577-5103
US

IV. Provider business mailing address

13 HIGHVIEW DR
SALISBURY MILLS NY
12577-5103
US

V. Phone/Fax

Practice location:
  • Phone: 845-742-2130
  • Fax:
Mailing address:
  • Phone: 845-742-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31238
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: