SearchNew York235Z00000X

Risa Petrucci, M.A

NPI 1245662295 · on the registry since 2013 · sole proprietor

Practice

Address
99 Hollywood Dr
Smithtown, NY 11787
Phone
(631) 366-2982
Organisation at this address
Developmental Disabilities Institute
Developmental Disabilities Institute
Developmental Disabilities Institute Inc
Developmental Disabilities Institute, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York