Healthcare Provider Details

I. General information

NPI: 1841085107
Provider Name (Legal Business Name): MR. PATRICK JOHN ALBARANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 RICHMOND AVE
STATEN ISLAND NY
10312-5110
US

IV. Provider business mailing address

64 KEIBER CT
STATEN ISLAND NY
10314-2910
US

V. Phone/Fax

Practice location:
  • Phone: 718-948-3232
  • Fax:
Mailing address:
  • Phone: 646-207-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: