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Contact Information

MICHAEL A CHIARELLO, PHD, NP
3771 NESCONSET HWY STE 212
SOUTH SETAUKET, NY11720
 Phone: 631-689-5390
 Fax: 631-883-6652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHAEL A CHIARELLO · (Male)

NPI Number 1235204678
Status Active
Credentials PHD, NP
Entity Individual
Enumeration date 11/21/2006
Last updated 12/19/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F400066-1
  • NY Medicaid 02168454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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