Healthcare Provider Details

I. General information

NPI: 1558208199
Provider Name (Legal Business Name): GIUSEPPA PRAINITO FNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MONTAUK HWY STE 106
WEST ISLIP NY
11795-4429
US

IV. Provider business mailing address

186 CAPTAINS WAY
BAY SHORE NY
11706-8105
US

V. Phone/Fax

Practice location:
  • Phone: 631-909-6036
  • Fax:
Mailing address:
  • Phone: 631-909-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number245344111
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: