MEDICARE: KRISTEN NOCERINO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	008858	NY

General Provider Information

NPI Number	:	1861052581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN NOCERINO LMHC

Provider Business Mailing Address
First Line	:	150 LAKE RD
Second Line	:
City	:	VALLEY COTTAGE
State	:	NY
Zip	:	10989-2460
Country	:	US
Telephone Number	:	845-598-4851
Fax Number	:

Provider Business Practice Location Address
First Line	:	2024 WILLIAMSBRIDGE RD STE 4
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1634
Country	:	US
Telephone Number	:	845-598-4851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2019
Last Update Date	:	06/14/2019

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Directions to “ KRISTEN NOCERINO LMHC” Practice Location

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