Provider Demographics
NPI:1174873517
Name:FRASCELLO, VERONICA MAUREEN (MS ED SWD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:MAUREEN
Last Name:FRASCELLO
Suffix:
Gender:F
Credentials:MS ED SWD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COUNTRY HOLLOW
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930
Mailing Address - Country:US
Mailing Address - Phone:914-980-5070
Mailing Address - Fax:
Practice Address - Street 1:33 COUNTRY HOLW
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-2141
Practice Address - Country:US
Practice Address - Phone:914-980-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5045271111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist