Provider Demographics
NPI:1316292402
Name:SAVARESE FERRERA, CHRISTIE LEIGH (MS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:LEIGH
Last Name:SAVARESE FERRERA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 YUCCA DR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1633
Mailing Address - Country:US
Mailing Address - Phone:718-317-1195
Mailing Address - Fax:
Practice Address - Street 1:1535 RICHMOND AVE FL 3
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1520
Practice Address - Country:US
Practice Address - Phone:718-556-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst